Individual provider Active NPI

Amanda Harmony Saltzberg, M.A., L.M.H.C.

  • Mental Health Counselor
  • Vineyard Haven, MA
National Provider Identifier
1306077169
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6989 Issued in MA
Practice address
4 Church Street
Vineyard Haven, MA 02568
Phone
(508) 274-9570
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 6989 MA Primary

Addresses

Primary practice location

4 Church Street
Vineyard Haven, MA 02568

Mailing address

PO Box 174
West Tisbury, MA 02575-0174
Phone (508) 274-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 6, 2024 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6989MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda H. Saltzberg LMHC Inc CurrentSince Jul 3, 2022 Accepting new patients
Amanda H. Saltzberg LMHC Mental Health CurrentSince Oct 9, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1306077169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "025750174",
            "telephone_number": "508-274-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHURCH STREET",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-274-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZBERG",
        "first_name": "AMANDA",
        "middle_name": "HARMONY",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

Verify at the official NPI Registry.