Amanda Rose Addeo, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135980 Issued in VT

Practice address

301 Pearl St Ste 101
St Johnsbury, VT 05819-5636

Phone

(802) 731-1954

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

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.

• Nek Therapeutic and Educational Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Johnsbury, VT
  • NPI 1851137947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1558107631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PEARL ST STE 101",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058195636",
            "telephone_number": "802-731-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PEARL ST STE 101",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058195636",
            "telephone_number": "802-731-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDEO",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1248 Hospital Drive Operations LLC (St. Johnsbury Health and Rehabilitation Center)
• Jacqueline Abella, PT
• Neil Edward Medina Abella
• Cynthia Anne Abry, LCMHC
• Anna Elizabeth Acito
• Agape Counseling & Consulting LLC
• John M Ajamie, MD
• Kelsea S Aldrich
• Rose Aldrich, MS, QMHP
• Kimberly A Alercio, OT

• Mental Health Counselor in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.