Individual provider Active NPI

Amanda L Lupfer, LPC, ATR-BC, CLAT

  • Professional Counselor
  • Hartford, CT
National Provider Identifier
1346876414
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4979 Issued in CT
Practice address
331 Wethersfield Ave Ste 2
Hartford, CT 06114-1438
Phone
(860) 236-4511
Fax
(860) 231-8849
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 19-560 CT
Professional Counselor 101YP2500X 4979 CT Primary

Addresses

Primary practice location

331 Wethersfield Ave Ste 2
Hartford, CT 06114-1438

Mailing address

331 Wethersfield Ave Ste 2
Hartford, CT 06114-1438
Phone (860) 236-4511

Other names 1

  • Edgar D Scott Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alupfer@thevillage.org Direct The Village for Families and Children

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002772 CT Practitioner - Mental Health Counselor 1355877135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

341 W St
Unit B
Plantsville, CT 06479-1140
Phone (203) 819-0789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4979CTMDGeneral Practice Dentistry
19-560CTMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 22, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 22, 2024 Accepting new patients

Locations

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

Interoperability endpoints

  • Direct secure messaging: edgar.scott.1@28623.direct.athenahealth.com

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1346876414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE STE 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141438",
            "telephone_number": "860-236-4511",
            "fax_number": "860-231-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WETHERSFIELD AVE STE 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141438",
            "telephone_number": "860-236-4511",
            "fax_number": "860-231-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPFER",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LPC, ATR-BC, CLAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CT",
            "license": "19-560",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alupfer@thevillage.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "The Village for Families and Children",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "331 Wethersfield Ave",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061141420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "SCOTT",
            "middle_name": "D",
            "credential": "LPC, ATR-BC, CLAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.