Individual provider Active NPI

Amy Lanier Datla, LCMHCS, LMHC, LMFT

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1306002019
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8831 Issued in FL
Practice address
3 Mount Olive Ter
Asheville, NC 28804-2987
Phone
(813) 808-1956
Fax
(888) 977-1272
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2809 FL
Mental Health Counselor 101YM0800X MH8831 FL Primary

Addresses

Primary practice location

3 Mount Olive Ter
Asheville, NC 28804-2987

Mailing address

3 Mount Olive Ter
Asheville, NC 28804-2987
Phone (813) 808-1956

Other identifiers 1

IdentifierTypeStateIssuer
1285977520OtherFLNPPES- NPI #

Other names 1

  • Amy Lanier Gumpert 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
MH8831FLMDMental Health Counselor
MT2809FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mantra Counseling, LLC Mental Health PastSince Dec 1, 2019 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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1306002019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOUNT OLIVE TER",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042987",
            "telephone_number": "813-808-1956",
            "fax_number": "888-977-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOUNT OLIVE TER",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042987",
            "telephone_number": "813-808-1956",
            "fax_number": "888-977-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATLA",
        "first_name": "AMY",
        "middle_name": "LANIER",
        "credential": "LCMHCS, LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2809",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES- NPI #",
            "identifier": "1285977520",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GUMPERT",
            "middle_name": "LANIER",
            "credential": "LMHC, CAP, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.