Individual provider Active NPI

Amanda-Jean Kathy-Linda Albert

  • Counselor
  • Allentown, PA
National Provider Identifier
1235940859
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC017729 Issued in PA
Practice address
1150 Glenlivet Dr
Allentown, PA 18106-3112
Phone
(484) 793-2689
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC017729 PA Primary

Addresses

Primary practice location

1150 Glenlivet Dr
Allentown, PA 18106-3112

Mailing address

1150 Glenlivet Dr
Allentown, PA 18106-3112

Other identifiers 1

IdentifierTypeStateIssuer
PC017729OtherPASTATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001059 PA Practitioner - Mental Health Counselor 0941723159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 Glenlivet Dr
Suite A23
Allentown, PA 18106-3113
Phone (844) 696-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Coaching, Counseling, & Psychological Associates LLC CurrentSince Jan 25, 2025 Accepting new patients
Corefit Chiropractic PastSince Jan 19, 2025 Accepting new patients

Locations

1150 Glenlivet Dr
Ste A23
Allentown, PA 18106
Phone (844) 696-4631

2209 Quarry Dr
Ste A10
Reading, PA 19609
Phone (610) 563-2052

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1235940859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "484-793-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "AMANDA-JEAN",
        "middle_name": "KATHY-LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC017729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C",
            "identifier": "PC017729",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.