Amanda Kirsch, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1100332 Issued in OH

Practice address

3469 Fortuna Dr
Akron, OH 44312-5281

Phone

(330) 644-3469

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

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.

• Akron Family Institute, Inc.

  • Counseling Psychologist
  • Akron, OH
  • NPI 1912174319
  Medicare reassignment NPD
• Centered Place Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairlawn, OH
  • NPI 1316796709
  NPD Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1669722963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "AMANDA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1100332",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1100332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Kirk, APRN, FNP-C
• Ta'Nika Kirk
• Tina Marie Kirkman
• Carlissa Kirkpatrick, LPN
• Kisha Lynise Kirksey
• Michael Kirwin, MD
• Angela Jean Kiser, CPNP
• Jodi Lynn Kish, RN
• Tiffany Kish
• Lauren Lindsay Kishman, D.P.M.

• Professional Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.