Individual provider Active NPI

Amanda L Peltier, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1528696317
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008938 Issued in NY
Practice address
845 Central Ave Ste 1
Albany, NY 12206-1514
Phone
(518) 729-3953
Fax
(888) 445-1178
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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 008938 NY Primary

Addresses

Primary practice location

845 Central Ave Ste 1
Albany, NY 12206-1514

Mailing address

845 Central Ave Ste 1
Albany, NY 12206-1514
Phone (518) 729-3953

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.np-psych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002788 NY Practitioner - Mental Health Counselor 4486007630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Paradigm Psychological Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

845 Central Ave
Ste 1
Albany, NY 12206
Phone (518) 729-3953

845 Central Ave
Ste 1S
Albany, NY 12206
Phone (518) 729-3953

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1528696317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE STE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-729-3953",
            "fax_number": "888-445-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE STE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-729-3953",
            "fax_number": "888-445-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.np-psych.com",
            "affiliation": "N",
            "address_1": "845 Central Ave Ste 1",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122061514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.