Amanda Amell – Counselor in Saranac Lake, NY

Key facts

NPI: 1215330865
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 70 Edgewood Rd
Saranac Lake, NY 12983-1537
Phone: (518) 354-4157
NPI assigned: Sep 26, 2014
Sex: Female
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X			Yes

Addresses

Primary practice location

70 Edgewood Rd
Saranac Lake, NY 12983-1537

Mailing address

1664 State Route 30
Tupper Lake, NY 12986-2402
Phone (518) 354-0540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2014.

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1215330865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 STATE ROUTE 30",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129862402",
            "telephone_number": "518-354-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EDGEWOOD RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831537",
            "telephone_number": "518-354-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELL",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

All providers in Saranac Lake, NY · Counselor in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.