Amy L Antonelli, CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010376 Issued in VA

Practice address

3630 S Plaza TRL Ste 150a
Virginia Beach, VA 23452-3371

Phone

(757) 985-6116

NPI assigned

Mar 4, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Beyond Therapy LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
  • NPI 1326792052
  NPD
• Child & Family Services of Eastern Virginia, Inc

  dba The Up Center

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1629158159
  NPD
• Purvis Network Inc.

  dba Bell's Haven

  • Mental Illness Community Based Residential Treatment Facility
  • Norfolk, VA
  • NPI 1326364696
  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1538754114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WINDOM PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543416",
            "telephone_number": "757-985-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL STE 150A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523371",
            "telephone_number": "757-985-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103542",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Antoine
• Mariah Antoine, WHNP-BC
• Monelle Joy Antoine
• Anastasia Antoinette
• Justice Antone
• James J Antus, DDS
• Nathaniel Michael Apatov, CRNA
• Apex Innovacare LLC
• Apios Health LLC
• Carissa Mae Appleton, RN

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.