Individual provider Active NPI

Amanda Corrigan, IMFT

  • Marriage & Family Therapist
  • Westerville, OH
National Provider Identifier
1689065310
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.1700002 Issued in OH
Practice address
3 W Main St Ste 203
Westerville, OH 43081-2195
Phone
(614) 955-1023
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M 1300029 OH
Marriage & Family Therapist 106H00000X F.1700002 OH Primary

Addresses

Primary practice location

3 W Main St Ste 203
Westerville, OH 43081-2195

Mailing address

3 W Main St Ste 203
Westerville, OH 43081-2195
Phone (614) 955-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F.1700002OHMDMarriage & Family Therapist
M 1300029OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Path Mental Health, LLC Marriage & Family Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

3 W Main St
Ste 203
Westerville, OH 43081
Phone (614) 633-5946

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1689065310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 203",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-955-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 203",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-955-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "AMANDA",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M 1300029",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.1700002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.