Individual provider Active NPI

Amy C. Amon

  • Professional Counselor
  • Mercer, PA
National Provider Identifier
1245598754
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011087 Issued in PA
Practice address
60B Franklin Rd
Mercer, PA 16137-5118
Phone
(724) 269-7222
NPI assigned
May 3, 2012
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC011087 PA Primary

Addresses

Primary practice location

60B Franklin Rd
Mercer, PA 16137-5118

Mailing address

60B Franklin Rd
Mercer, PA 16137-5118
Phone (724) 269-7222

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
I20241210003688 PA Practitioner - Mental Health Counselor 1052847357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Creek Counseling & Wellness Center Professional CurrentSince Oct 6, 2024 Accepting new patients
Evolve Professional Counseling Services, LLC Professional Past Accepting new patients

Locations

19 McQuiston Dr
Jackson Center, PA 16133
Phone (724) 269-7222

60B Franklin Rd
Mercer, PA 16137
Phone (724) 269-7222

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1245598754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60B FRANKLIN RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375118",
            "telephone_number": "724-269-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60B FRANKLIN RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375118",
            "telephone_number": "724-269-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMON",
        "first_name": "AMY",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.