Active NPI
Ellen V Amel, MSW
- Mental Health Counselor
- Englewood, NJ
National Provider Identifier
1306977202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SC00362
- Practice address
- 163 Engle St
Englewood, NJ 07631-2535 - Phone
- (201) 568-7448
- NPI assigned
- Mar 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SC00362 | NJ | Primary |
Addresses
Primary practice location
163 Engle St
Englewood, NJ 07631-2535
Mailing address
235 W End Ave
Apt 12J
New York, NY 10023-3631
Phone (212) 877-8891
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC00362 | NJ | MD | Mental Health Counselor |
| 016167 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306977202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W END AVE",
"address_2": "APT 12J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233631",
"telephone_number": "212-877-8891",
"fax_number": "212-877-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312535",
"telephone_number": "201-568-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEL",
"first_name": "ELLEN",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "SC00362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.