Active NPI
Amy Lynn Needham, L.M.F.T
- Marriage & Family Therapist
- Ligonier, PA
National Provider Identifier
1437426657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000631
- Practice address
- 117 Juniper Lane
Ligonier, PA 15658 - Phone
- (724) 238-5556
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000631 | PA | Primary |
Addresses
Primary practice location
117 Juniper Lane
Ligonier, PA 15658
Mailing address
142 Wilpen Road
Ligonier, PA 15658
Phone (724) 238-2098
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000631 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1437426657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 WILPEN ROAD",
"city": "LIGONIER",
"state": "PA",
"postal_code": "15658",
"telephone_number": "724-238-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 JUNIPER LANE",
"city": "LIGONIER",
"state": "PA",
"postal_code": "15658",
"telephone_number": "724-238-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEDHAM",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.F.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.