Amanda Albright, LPC, LMHC, MA
Individual provider Active NPI Professional Counselor · Virginia Beach, VA
NPI 1356770366 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1356770366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701008657 (VA)
- Practice address
- 5267 Greenwich Rd Ste 101E
Virginia Beach, VA 23462-6028 - Phone
- (757) 206-2378
- NPI assigned
- Nov 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5267 Greenwich Rd
Suite 101E
Virginia Beach, VA 23462-6028
Phone (757) 206-2378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250410002365 | VA | Practitioner - Mental Health Counselor | 6901280361 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 5882 | FL | MD | Counselor |
| 0701008657 | VA | MD | Counselor |
| MH16534 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Life Services | Current |
Accepting new patients |
Locations
5267 Greenwich Rd
Ste 101E
Virginia Beach, VA 23462
Phone (757) 206-2378
5267 Greenwich Rd
Ste 101A
Virginia Beach, VA 23462
Interoperability endpoints
- https://api.platform.athenahealth.com/23608/brand/1/csg/1/fhir/r4
- amanda.albright.1@23608.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008657 | VA | Yes |
| Counselor | 101Y00000X | 0701008657 | VA | |
| Counselor | 101Y00000X | IMH 5882 | FL | |
| Mental Health Counselor | 101YM0800X | MH16534 | FL | |
| Professional Counselor | 101YP2500X | MH16534 | FL |
Addresses
Primary practice location
5267 Greenwich Rd Ste 101E
Virginia Beach, VA 23462-6028
Mailing address
5267 Greenwich Rd Ste 101a
Virginia Beach, VA 23462-6028
Phone (757) 419-7907
Other providers in Virginia Beach, VA
- Martha B Alberti
- Michelle Alberti
- Carly L Albertson
- Kenneth Albinder
- Eric Jacob Albrecht
- Karen Elizabeth Albright
- Denise Grace Alcantara
- Demetris Dewayne Aldridge
- Christopher Timberlake Aleman
- Amen Alemayehu
All providers in Virginia Beach, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.