Amanda Elizabeth Gerrick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AC-0000306 Issued in DE

Practice address

2644 Capitol TRL Ste 250
Newark, DE 19711-7231

Phone

(302) 683-1055

NPI assigned

Sep 11, 2017

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

Enrolled in DE

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Diamond State Counseling, LLC

  • Community/Behavioral Health Agency
  • Newark, DE
  • NPI 1760854590
  Medicare reassignment NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1679092746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 CAPITOL TRL STE 250",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117231",
            "telephone_number": "302-683-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 CAPITOL TRL STE 250",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117231",
            "telephone_number": "302-683-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRICK",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "AC-0000306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin George
• Shannan Georgov, NP
• Danielle L. Gerber, D.M.D.
• Barbara German
• Diana E Germosen, M.D.
• Douglas Gersh, M.D.
• Sarah K Geskes, RD
• Leila Payrow Getto, M.D.
• Isabella Souraya Ghaleb, RDN
• Ghassem Vakili, M.D. P.a

• Mental Health Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.

Verify at the official NPI Registry.