Individual provider Active NPI

Amanda Miltenberg, LMHC

  • Mental Health Counselor
  • Wantagh, NY
National Provider Identifier
1700268166
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005242 Issued in NY
Practice address
2175 Wantagh Ave Ste 105
Wantagh, NY 11793-3925
Phone
(516) 584-4923
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 005242 NY Primary

Addresses

Primary practice location

2175 Wantagh Ave Ste 105
Wantagh, NY 11793-3925

Mailing address

6 Andrews Dr
Massapequa Park, NY 11762-4030
Phone (516) 584-4923

Other names 1

  • Amanda Kremberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1700268166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANDREWS DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117624030",
            "telephone_number": "516-584-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 WANTAGH AVE STE 105",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933925",
            "telephone_number": "516-584-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERG",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KREMBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.