Amanda Brickley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

319 Wilder St
Lowell, MA 01851-1731

Phone

(978) 452-4522

NPI assigned

Jul 7, 2015

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

Enrolled in MA

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 and National Provider Directory roles.

• Center Psychotherapy LLC

  • Mental Health Counselor
  • Winchester, MA
  • NPI 1962974949
  Medicare reassignment NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1629451810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WILDER ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511731",
            "telephone_number": "978-452-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WILDER ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018511731",
            "telephone_number": "978-452-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Breen
• Daniel M Brennan, DMD
• Tamra Lee Brennan, NPC
• Tiffany Brennan
• Anna Bresette
• Bridgewell Counseling
• Bridgewell, Inc
• Lyndsey J Brinson, LMCH
• Jonathan Ismael Bristol
• James William Britigan, RECOVERY COACH

• Mental Health Counselor in Lowell, MA
• Providers in Lowell, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.