Amanda Koniewicz, PSY.D, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012293 Issued in PA

Practice address

511 N Providence Rd
Rear Entrance
Media, PA 19063-2561

Phone

(484) 363-9280

NPI assigned

Jul 5, 2016

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Wellness Center LLC

  • Professional Counselor
  • Media, PA
  • NPI 1629864061

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1669824553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N PROVIDENCE RD",
            "address_2": "REAR ENTRANCE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "484-363-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N PROVIDENCE RD",
            "address_2": "REAR ENTRANCE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632561",
            "telephone_number": "484-363-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIEWICZ",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012293",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PC012293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Koban Payne, PH.D.
• Vsevolod Kohutiak, MD
• Koinonia Counseling
• Gina Kokoska, MA, CCC-SLP
• Kristen Konieczny
• Tricia Louise Korenkiewicz, OD
• William Noah Kornberg, D.O.
• Lauren Marie Kossler, M.ED
• John A Kotyo, MD
• Anastassios Koussis, DDS

• Professional Counselor in Media, PA
• Providers in Media, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.