Amy Jill Wieder

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015176 Issued in PA

Practice address

901 E Brady St
Butler, PA 16001-4648

Phone

(724) 282-1627

NPI assigned

Dec 27, 2022

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

Other names 1

• Amy Jill Squyres Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA

  Medicare reassignment

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1619680436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HOLLAND DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160027564",
            "telephone_number": "724-282-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-282-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDER",
        "first_name": "AMY",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awieder@pbsmentalhealth.com",
            "affiliation": "Y",
            "endpointDescription": "employer",
            "affiliationName": "PBS Mental Health Associates, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 E Brady St",
            "city": "Butler",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160014648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SQUYRES",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelley Mariah White, PHARMD
• Maryanne Elizabeth White, LCSW
• Richard John White, DO
• Stephanie Dale White, LCSW
• Deborah Lynn Wiech, LPC, MED
• Virginia D Wieder, P.T.
• Wiest Audiology and Professional Hearing Aid Service Inc
• Evelyn Jean Wiest-Kertz, M.S. CCC-A
• Wigton Eye Care Associates, Inc
• Jeanine M Wigton, DNP

• Professional Counselor in Butler, PA
• Providers in Butler, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.