Amy N Sisson, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0700266 Issued in OH

Practice address

53 Main Street
Vinton, OH 45686

Phone

(740) 388-8567

Fax

(740) 388-8567

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Square One GJM

  • Professional Counselor
  • Gallipolis, OH
  • NPI 1982323358
  NPD Authorized official
• Square One GJM

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gallipolis, OH
  • NPI 1952022964
  NPD
• Haven of Hope Christian Counseling Center LLC

  • Community/Behavioral Health Agency
  • Vinton, OH
  • NPI 1700113529
  NPD (past)
• Wing Haven

  • Community/Behavioral Health Agency
  • Vinton, OH
  • NPI 1164779716
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1508194259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 171",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "45686",
            "telephone_number": "740-388-8567",
            "fax_number": "740-388-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN STREET",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "45686",
            "telephone_number": "740-388-8567",
            "fax_number": "740-388-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0700266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Raynor, CDCA
• Jessica F Reed
• Amber Lee Richards, LCDC111
• Erin Danielle Shaffer, LSW
• Silk LLC
• Joe Sizemore
• Shelly Sizemore
• Lacie Ann Skeen, CDCA
• Melissa Stalnaker, CDCA
• Janette N Stewart

• Professional Counselor in Vinton, OH
• Providers in Vinton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.