Individual provider Active NPI

Amanda Levy, LMHC

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1689224339
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17318 Issued in FL
Practice address
138 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone
(813) 444-7116
NPI assigned
Sep 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17318 FL Primary

Addresses

Primary practice location

138 E Bloomingdale Ave
Brandon, FL 33511-8101

Mailing address

138 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-7116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 22, 2024 through May 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH17318FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Counseling Center, LLC Mental Health Current Accepting new patients
Renewed Integrative Counseling Mental Health CurrentSince Dec 12, 2021 Accepting new patients

Locations

2911 Park Pond Way
Kissimmee, FL 34741
Phone (813) 444-7116

1074 S Florida Ave
Ste 103
Lakeland, FL 33803
Phone (813) 444-7116

11912 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 444-7116

29160 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 444-7116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1689224339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "AMANDA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.