Individual provider Active NPI

Amanda Elizabeth Lebeau, LMHC - CCPT

  • Mental Health Counselor
  • Auburn, NY
National Provider Identifier
1427561257
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008274 Issued in NY
Practice address
17 E Genesee St
Auburn, NY 13021-4040
Phone
(315) 253-9795
Fax
(315) 253-3255
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 008274 NY Primary

Addresses

Primary practice location

17 E Genesee St
Auburn, NY 13021-4040

Mailing address

17 E Genesee St
Auburn, NY 13021-4040
Phone (315) 253-9795

Other practice location 1

98 N 2nd St
Fulton, NY 13069-1254
Phone (315) 326-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250527001456 NY Order and Referring Only - Mental Health Counselor 9032638739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1427561257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214040",
            "telephone_number": "315-253-9795",
            "fax_number": "315-253-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214040",
            "telephone_number": "315-253-9795",
            "fax_number": "315-253-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130691254",
            "country_code": "US",
            "telephone_number": "315-326-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBEAU",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC - CCPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.