Donald Amos
Individual provider Active NPI Mental Health Counselor · Springfield, OH
NPI 1669463469 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1669463469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E0001681 (OH)
- Practice address
- 474 N Yellow Springs St
Springfield, OH 45504-2463 - Phone
- (937) 399-9500
- Fax
- (937) 342-4236
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0001681 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Services for Clark Co Inc | Current | Accepting new patients |
Locations
474 N Yellow Springs St
Springfield, OH 45504
Phone (937) 399-9500
2501 E High St
Springfield, OH 45505
Phone (937) 328-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0001681 | OH | Yes |
Addresses
Primary practice location
474 N Yellow Springs St
Springfield, OH 45504-2463
Mailing address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000004369 | Other | OH | ANTHEM |
| 0004577072 | Other | ND | AETNA |
Other providers in Springfield, OH
- American Home Health Care, Inc
- American Homepatient, Inc.
- American Orthopedics, Inc
- Joyce Amlin
- Crystal Amos Boykin
- Amrit Lal Chadha M.D., Inc
- Anchored Solutions
- Michelle Anders
- April Dawn Anderson
- Lorrenzo L Anderson
All providers in Springfield, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.