Individual provider Active NPI

Amanda Chen, MA, LPC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1285206367
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2003017 Issued in OH
Practice address
11440 Hamilton Ave Ste 206
Cincinnati, OH 45231-1180
Phone
(513) 648-9596
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2003017 OH Primary

Addresses

Primary practice location

11440 Hamilton Ave Ste 206
Cincinnati, OH 45231-1180

Mailing address

8622 Winton Rd Ste a
Cincinnati, OH 45231-4823
Phone (513) 275-6023

Other practice location 1

8622 Winton Rd Ste A
Cincinnati, OH 45231-4823
Phone (513) 275-6023

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2003017OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Recovery and Wellness Center, LLC PastSince Aug 15, 2021 Accepting new patients

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1285206367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 WINTON RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314823",
            "telephone_number": "513-275-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 HAMILTON AVE STE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311180",
            "telephone_number": "513-648-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8622 Winton Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452314823",
            "country_code": "US",
            "telephone_number": "513-275-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "AMANDA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2003017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.