Active NPI
Amanda Tuttle
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1700494283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6977
- Practice address
- 3839 Manayunk Ave
Philadelphia, PA 19128-5109 - Phone
- (860) 706-2942
- NPI assigned
- Jul 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6977 | SC | Primary |
Addresses
Primary practice location
3839 Manayunk Ave
Philadelphia, PA 19128-5109
Mailing address
3839 Manayunk Ave
Philadelphia, PA 19128-5109
Phone (860) 706-2942
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | doxy.me | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6977 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1700494283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 MANAYUNK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285109",
"telephone_number": "860-706-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 MANAYUNK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285109",
"telephone_number": "860-706-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6977",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "doxy.me",
"affiliation": "N",
"endpointDescription": "Virtual Telehealth platform",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3839 Manayunk Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191285109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.