Individual provider Active NPI

Alexis Amsterdam, MPH, MA, LPC

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1497583421
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2406299 Issued in OH
Practice address
4243 Hunt Rd Ste 206
Blue Ash, OH 45242-6645
Phone
(513) 201-7435
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 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 C.2406299 OH Primary

Addresses

Primary practice location

4243 Hunt Rd Ste 206
Blue Ash, OH 45242-6645

Mailing address

316 Amazon Ave
Cincinnati, OH 45220-1102
Phone (513) 550-3702

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 Arts

State licenses

LicenseStateTypeSpecialty
C.2406299OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Purposeful Path Counseling Mental Health CurrentSince Nov 10, 2024 Accepting new patients

Locations

4243 Hunt Rd
Ste 206
Blue Ash, OH 45242
Phone (513) 201-7435

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1497583421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 AMAZON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201102",
            "telephone_number": "513-550-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 HUNT RD STE 206",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426645",
            "telephone_number": "513-201-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSTERDAM",
        "first_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "MPH, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.