Amanda Marie Bucci, LCPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

XL5660 Issued in ME

Practice address

19 South St Ste 6
Portland, ME 04101-3963

Phone

(207) 558-5539

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amb Counseling LLC

  • Adult Mental Health Clinic/Center
  • South Portland, ME
  • NPI 1144183542
  NPD Authorized official
• Nikki Wetherell Counseling

  dba Virago Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1700358314
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1568061547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTH ST STE 6",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013963",
            "telephone_number": "207-558-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SOUTH ST STE 6",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013963",
            "telephone_number": "207-558-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Nicole Bryant, RD, LDN
• Larissa Bryant, OTR/L
• Shane R Bryant, DMD
• Britta Joy Brydon, OTR/L
• Deborah Jean Bryenton, LSW-ADDICTION
• Scott A. Buchanan, M.D.
• Glenn Klingensmith Buchberger, MD
• Jenna Elizabeth Buckleitner, DO
• Amy Stepp Buczkowski, M.D.
• Nina Budeiri, LCSW

• Professional Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.