Amanda Tangney, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3318 Issued in CT

Practice address

230 Frost Rd
Waterbury, CT 06705-2154

Phone

(203) 819-0789

Fax

(203) 756-2521

NPI assigned

Oct 13, 2014

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 and National Provider Directory roles.

• Amanda Tangney, PLLC

  • Professional Counselor
  • Newington, CT
  • NPI 1639844327
  NPD Authorized official
• Mindscapes Counseling PLLC

  dba Tides of Mind Counseling

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1295130581
  NPD (past)
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1578967014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FROST RD UNIT B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052154",
            "telephone_number": "203-819-0789",
            "fax_number": "203-756-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 FROST RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052154",
            "telephone_number": "203-819-0789",
            "fax_number": "203-756-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGNEY",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raafat R Tadros, MD
• Suzanne Taluy, LCSW
• Erin Tamiso
• Stephanie Tang, WHNP-BC
• Donna Tanganelli
• Lisa Marie Tanguay, PA
• Robert Tanguay, CPHT
• Avantika Tankala
• Mark Howard Tannenbaum, MD
• Maryam Tanweer, MD

• Mental Health Counselor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.