Active NPI
Amy Lea Hannah
- Mental Health Counselor
- Leominster, MA
National Provider Identifier
1669179438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 100 Erdman Way
Leominster, MA 01453-1804 - Phone
- (978) 466-8384
- NPI assigned
- Feb 13, 2023
- Last updated
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
100 Erdman Way
Leominster, MA 01453-1804
Mailing address
100 Erdman Way
Leominster, MA 01453-1804
Phone (978) 466-8384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S16195797 | Other | MA | RMV |
Other names 1
- Amy Lea Conti
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Main St
Boylston, MA 01505-1928
Phone 5089287555500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richer Soil Counseling LLC | Mental Health | Current | Accepting new patients |
| Cornerstone Behavioral Health Inc. | Mental Health | Current | Accepting new patients |
Locations
164 Main St
Boylston, MA 01505
Phone (508) 928-7555
397 Grove St
Worcester, MA 01605
Phone (508) 791-3677
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1669179438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ERDMAN WAY",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531804",
"telephone_number": "978-466-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ERDMAN WAY",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531804",
"telephone_number": "978-466-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "AMY",
"middle_name": "LEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMV",
"identifier": "S16195797",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CONTI",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
- 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.