Amanda L. Kantaras, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900345-SUPV Issued in OH

Practice address

535 Marmion Ave
Youngstown, OH 44502-2323

Phone

(330) 782-5664

Fax

(330) 782-1614

NPI assigned

Oct 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amanda L. Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1710212857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTARAS",
        "first_name": "AMANDA",
        "middle_name": "L.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.131240",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900345-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAYES",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Elizabeth Kampfer, DPT
• Linda May Kanche, RN
• Kimothy A Kane, CNP
• Mike Kane, COUNSELOR TRAINEE
• Vida S Kaniecki, MD
• Brent Scott Kantaras, M.ED., PCC
• Yelena Leah Kaplan, DPM
• Michelle Kapon, MD
• Brittany Dawn Kapp, RBT
• Ann Marie Karabin, RPH

• Professional Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.