Individual provider Active NPI

Alice Ann Amos, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1710904446
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5646 Issued in FL
Practice address
7100 Camino Real Ste 404
Boca Raton, FL 33433
Phone
(561) 347-7211
NPI assigned
Jul 17, 2006
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 MH5646 FL Primary

Addresses

Primary practice location

7100 Camino Real Ste 404
Boca Raton, FL 33433

Mailing address

7100 Camino Real Ste 404
Boca Raton, FL 33433-5510
Phone (561) 347-7211

Other practice location 1

370 Camino Gardens Blvd
Suite 112
Boca Raton, FL 33432-5816
Phone (561) 347-7211

Other practice location 2

370 Camino Gardens Blvd
Suite 112
Boca Raton, FL 33432-5816
Phone (561) 347-7211

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

LicenseStateTypeSpecialty
MH5646FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1710904446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CAMINO REAL STE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-347-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CAMINO REAL STE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-347-7211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Camino Gardens Blvd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334325816",
            "country_code": "US",
            "telephone_number": "561-347-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Camino Gardens Blvd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334325816",
            "country_code": "US",
            "telephone_number": "561-347-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOS",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.