Individual provider Active NPI

Amanda Hershey Miles, LCPC

  • Professional Counselor
  • Lutherville, MD
National Provider Identifier
1548810807
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3204 Issued in MD
Practice address
1615 York Rd Ste 300
Lutherville, MD 21093-5639
Phone
(443) 470-9297
Fax
(800) 785-3951
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3204 MD Primary

Addresses

Primary practice location

1615 York Rd Ste 300
Lutherville, MD 21093-5639

Mailing address

1615 York Rd Ste 300
Lutherville, MD 21093-5639
Phone (443) 470-9297

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amy@insightmaryland.com Direct

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

State licenses

LicenseStateTypeSpecialty
LC3204MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Wellness of Maryland CurrentSince Oct 2, 2022 Accepting new patients

Locations

1615 York Rd
Ste 300
Lutherville Timonium, MD 21093
Phone (443) 470-9297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1548810807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935639",
            "telephone_number": "443-470-9297",
            "fax_number": "800-785-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935639",
            "telephone_number": "443-470-9297",
            "fax_number": "800-785-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "AMANDA",
        "middle_name": "HERSHEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy@insightmaryland.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1615 York Rd Ste 300",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210935639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.