Active NPI
Amanda Henrie
- Counselor
- Monterey, CA
National Provider Identifier
1518361633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 604 Pearl St
Monterey, CA 93940-3070 - Phone
- (831) 647-3000
- NPI assigned
- Oct 17, 2014
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
604 Pearl St
Monterey, CA 93940-3070
Mailing address
977 Portola Dr
Del Rey Oaks, CA 93940-5539
Phone (928) 587-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M0000X | Other | CA | BEHAVIORAL HEALTH AIDE MHS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1518361633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 PORTOLA DR",
"city": "DEL REY OAKS",
"state": "CA",
"postal_code": "939405539",
"telephone_number": "928-587-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 PEARL ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403070",
"telephone_number": "831-647-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIE",
"first_name": "AMANDA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH AIDE MHS",
"identifier": "171M0000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.