Active NPI
Amy Lanier Datla, LCMHCS, LMHC, LMFT
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1306002019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285977520 | Other | FL | NPPES- NPI # |
Other names 1
- Amy Lanier Gumpert
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH8831 | FL | MD | Mental Health Counselor |
| MT2809 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantra Counseling, LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1285977520
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.