Active NPI
Shemica Amanda Outlaw
- Mental Health Counselor
- New Rochelle, NY
National Provider Identifier
1750049763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 017764
- Practice address
- 1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768 - Phone
- (914) 369-1934
- NPI assigned
- Dec 7, 2021
- Last updated
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 017764 | NY | Primary |
Addresses
Primary practice location
1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768
Mailing address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Mental Health | Current | Accepting new patients |
| Professional Consultation Services for Psychology,Speech Therapy, Occu | Past | Accepting new patients |
Locations
667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223
1 Radisson Plz
Fl 9
New Rochelle, NY 10801
Phone (914) 369-1934
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.
-
dba LifeStance Psychology
- Psychologist
- Carmel, NY
- NPI 1720194335
Mental Health
-
- Psychologist
- New Rochelle, NY
- NPI 1679949036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1750049763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 STONELEIGH AVE STE 202",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RADISSON PLZ FL 9",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015768",
"telephone_number": "914-369-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTLAW",
"first_name": "SHEMICA",
"middle_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "017764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.