Amy Villanueva

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009580 Issued in NY

Practice address

16 Oakley Blvd
Garnerville, NY 10923-1860

Phone

(845) 608-1975

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Ocean Waves Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garnerville, NY
  • NPI 1801679881
  NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1649893967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OAKLEY BLVD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231860",
            "telephone_number": "845-608-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OAKLEY BLVD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231860",
            "telephone_number": "845-608-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GARNERVILLE",
            "affiliation": "N",
            "address_1": "16 Oakley Blvd",
            "city": "Garnerville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109231860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Transitional Living Care Inc.
• Steve Trikounakis, RPA-C
• Lisa S. Troy, M.D.
• Lynn Viggiano, CCC-SLP
• Cecilia Villafuerte, NURSE PRACTITIONER
• Lori Beth Wacksman- Binder, MA CCC-SLP
• Chris Walsh, COTA/L
• Margherite Weigl, CCC-SLP
• Glen H Weiss, MD
• Sheryl Wiener

• Mental Health Counselor in Garnerville, NY
• Providers in Garnerville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.