Organization Active NPI

Far and Beyond Mentoring Services

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1760166458
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAR AND BEYOND MENTORING SERVICES
Practice address
117A Tradewynd Dr
Lynchburg, VA 24502-3112
Phone
(434) 200-0038
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Tiffany AmanetuNPI 1861176570
Title
Chief Executive Officer
Phone
(434) 200-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

117A Tradewynd Dr
Lynchburg, VA 24502-3112

Mailing address

203 Wayne Dr
Lynchburg, VA 24502-4445
Phone (434) 200-0038

National Provider Directory

National Provider Directory

Locations

117A Tradewynd Dr
Lynchburg, VA 24502
Phone (434) 200-0038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1760166458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WAYNE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024445",
            "telephone_number": "434-200-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117A TRADEWYND DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023112",
            "telephone_number": "434-200-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR AND BEYOND MENTORING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "AMANETU",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "434-200-0038"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.