Amy Michele Dietz, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005769 Issued in PA

Practice address

640 Alden St
Meadville, PA 16335-2348

Phone

(814) 373-5266

Fax

(814) 373-5269

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Titusville Area HospitalGroup PAC ID 8022907575, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Meadville Medical Center

  • Multi-Specialty Clinic/Center
  • Meadville, PA
  • NPI 1124083928

  Professional

  Medicare reassignment Care Compare group NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Meadville, PA
  • NPI 1962964981
  Medicare reassignment Care Compare group NPD
• Family Behavioral Resources, Inc.

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1508933599
  NPD
• Meadville Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Meadville, PA
  • NPI 1639067804
  NPD
• Meadville Medical Center

  • Family Medicine Physician
  • Mercer, PA
  • NPI 1811886575
  NPD
• Titusville Area Hospital

  • Audiologist
  • Titusville, PA
  • NPI 1306712104
  NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Cambridge Springs, PA
  • NPI 1710449632
  NPD
• Pathways Human Services of Pennsylvania, LLC

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1043822208
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1760016588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18201 Conneaut Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353757",
            "country_code": "US",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "AMY",
        "middle_name": "MICHELE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abutler@familybehavioralresources.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Cliffmine Rd Ste 100",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152751007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Lynn Dengler, N.D., LMT
• Dennis M. Finton, DMD, PC
• Damian J Derlink, DMD
• Thomas Joseph Detelich Jr., RPH
• Larry Scott Dickson, MA
• Kelly Joanna Diley, LCSW
• Mary Joyce Dillon, M.A
• Jessica Charlene Dimarco, PHARMD
• Doctors of Emergency Medicine of Illinois III, LLC
• Humberto Ramon Dorta, M.D.

• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.