Individual provider Active NPI

Amanda Lonnay, LPC, LCADC

  • Professional Counselor
  • Hazlet, NJ
National Provider Identifier
1255867214
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00583800 Issued in NJ
Practice address
1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668
Phone
(732) 670-7723
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00314500 NJ
Mental Health Counselor 101YM0800X 37PC00583800 NJ
Professional Counselor 101YP2500X 37PC00583800 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668

Mailing address

1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668
Phone (732) 670-7723

Other names 1

  • Mrs. Amanda Defuria Former name

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

State licenses

LicenseStateTypeSpecialty
37LC00314500NJMDAddiction (Substance Use Disorder) Counselor
37PC00583800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amethyst Mental Health Therapy CurrentSince Nov 1, 2021 Accepting new patients

Locations

1 Bethany Rd
Ste 69
Hazlet, NJ 07730
Phone (732) 344-0736

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1255867214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 69",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301668",
            "telephone_number": "732-670-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 69",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301668",
            "telephone_number": "732-670-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONNAY",
        "first_name": "AMANDA",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00314500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00583800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00583800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DEFURIA",
            "prefix": "MRS.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.