Active NPI
Amanda Nicole Kapes, L.S.W. & BCBA
- Behavior Analyst
- Wilkes Barre Township, PA
National Provider Identifier
1750794848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73479
- Practice address
- 679 Kidder St Ste 8
Wilkes Barre Township, PA 18702-6973 - Phone
- (570) 266-0651
- NPI assigned
- Jun 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW129649 | PA | |
| Behavior Analyst | 103K00000X | 1-24-73479 | PA | Primary |
Addresses
Primary practice location
679 Kidder St Ste 8
Wilkes Barre Township, PA 18702-6973
Mailing address
209 Four Seasons Dr
Drums, PA 18222-1227
Phone (570) 956-6946
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 |
|---|---|---|---|
| SW129649 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health Services, LLC | Social Worker | Past | Accepting new patients |
| Elite ABA Therapy LLC | Behavior Analyst | Past | Accepting new patients |
| Tiffany Griffiths Psy D & Associates Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Lafayette Hill, PA
- NPI 1225782378
Social Worker
-
- Clinical Psychologist
- Dunmore, PA
- NPI 1649507831
Social Worker
-
- Behavior Analyst
- Miramar, FL
- NPI 1043965346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1750794848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 FOUR SEASONS DR",
"city": "DRUMS",
"state": "PA",
"postal_code": "182221227",
"telephone_number": "570-956-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 KIDDER ST STE 8",
"city": "WILKES BARRE TOWNSHIP",
"state": "PA",
"postal_code": "187026973",
"telephone_number": "570-266-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPES",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "L.S.W. & BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW129649",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-24-73479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.