Individual provider Active NPI

Amanda Habovick Scisciani, LPC

  • Professional Counselor
  • Prospect Park, PA
National Provider Identifier
1639426539
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010328 Issued in PA
Practice address
815 Chester Pike
Prospect Park, PA 19076-2322
Phone
(973) 264-0023
Fax
(973) 264-0022
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC010328 PA Primary

Addresses

Primary practice location

815 Chester Pike
Prospect Park, PA 19076-2322

Mailing address

2719 Hollywood Blvd Ste 5469
Hollywood, FL 33020-4821
Phone (973) 264-0023

Other identifiers 1

IdentifierTypeStateIssuer
1007624160018MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260305003179 PA Practitioner - Mental Health Counselor 3274015409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy of Pennsylvania PCGroup PAC ID 2264791268, 28 clinicians

Practice addresses (Care Compare)

Prospect Park, PA 19076
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010328PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy of Pennsylvania, P.C. Professional CurrentSince Jan 1, 2026 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1639426539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD STE 5469",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "973-264-0023",
            "fax_number": "973-264-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762322",
            "telephone_number": "973-264-0023",
            "fax_number": "973-264-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABOVICK SCISCIANI",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007624160018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, PA

Sources for this page

Verify at the official NPI Registry.