Individual provider Active NPI

Amanda Aliff, MS, LPC, NCC, CCTP

  • Professional Counselor
  • Shippensburg, PA
National Provider Identifier
1447649652
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006613 Issued in PA
Practice address
130 S Penn St Ste 201
Shippensburg, PA 17257-1916
Phone
(717) 477-2556
Fax
(717) 496-0346
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC006613 PA Primary

Addresses

Primary practice location

130 S Penn St Ste 201
Shippensburg, PA 17257-1916

Mailing address

105 Milky Way
Shippensburg, PA 17257-8241
Phone (301) 706-6889

Other practice location 1

20 E Burd St Ste 1
Shippensburg, PA 17257-1328
Phone (017) 066-8893

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC006613PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Creative Center, Inc. Mental Health CurrentSince Dec 27, 2020 Accepting new patients

Locations

130 S Penn St
Ste 201
Shippensburg, PA 17257
Phone (717) 477-2556

Organizations & group practices 1

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1447649652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILKY WAY",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578241",
            "telephone_number": "301-706-6889",
            "fax_number": "174-960-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S PENN ST STE 201",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172571916",
            "telephone_number": "717-477-2556",
            "fax_number": "717-496-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Burd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172571328",
            "country_code": "US",
            "telephone_number": "017-066-8893",
            "fax_number": "717-496-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIFF",
        "first_name": "AMANDA",
        "credential": "MS, LPC, NCC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.