Individual provider Active NPI

Amanda Grace Ortt, M.ED., LPCC, NCC

  • Professional Counselor
  • Princeton, KY
National Provider Identifier
1184031817
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1739 Issued in KY
Practice address
111 E Washington St
Princeton, KY 42445-2249
Phone
(270) 601-6725
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1739 KY Primary

Addresses

Primary practice location

111 E Washington St
Princeton, KY 42445-2249

Mailing address

10867 Hopkinsville Rd
Princeton, KY 42445-6859
Phone (270) 963-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1739KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insession, PLLC Professional CurrentSince Jan 19, 2020 Accepting new patients

Locations

111 E Washington St
Princeton, KY 42445
Phone (270) 601-6725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1184031817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10867 HOPKINSVILLE RD",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456859",
            "telephone_number": "270-963-0045",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452249",
            "telephone_number": "270-601-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTT",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.