Amanda Leigh Vitali, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004603 Issued in PA

Practice address

403 Spinner Rd
Honesdale, PA 18431-7634

Phone

(570) 253-9323

NPI assigned

Mar 11, 2010

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  Medicare reassignment

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1245553734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184360362",
            "telephone_number": "570-878-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SPINNER RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317634",
            "telephone_number": "570-253-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALI",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Tunilo
• Joseph Ungvarsky Jr., PMHNP-BC
• Unity Healing LLC
• Denise C Viola, D.O.
• Vision Innovation Centers of Pennsylvania LLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2480)
• Wal-Mart Stores East, LP (Vision Center 30-2480)
• Mary Kathryn Waldrep, CRNP
• Christina Lee Walker, RN
• Dorothy Walline, LCSW

• Professional Counselor in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.