Amanda K Domo, MS, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P104456 Issued in NY

Practice address

20 Church St Ste 2
White Plains, NY 10601-1926

Phone

(914) 491-5032

Fax

(914) 683-8054

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Aa Psychology PLLC

  dba Thriving Center of Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1932975919
  Medicare reassignment

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1750966313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHURCH ST STE 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011926",
            "telephone_number": "914-491-5032",
            "fax_number": "914-683-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHURCH ST STE 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011926",
            "telephone_number": "914-491-5032",
            "fax_number": "914-683-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMO",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "MS, MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P104456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rade Doherty, MA,CCC-SLP
• Monica Dolcimascolo, RN
• Caitlin D Dold, AU.D
• Richard Sumner Dolins, M.D.
• Melissa Dominguez, LMSW
• Rita A Dompreh, NP
• Jonathan A Donath, DC, MS
• Paul Dong
• Donna Klein & Associates, Inc.
• Nancy Donworth

• Mental Health Counselor in White Plains, NY
• Providers in White Plains, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.