Active NPI
Far and Beyond Mentoring Services
- Mental Health Counselor
- Lynchburg, VA
National Provider Identifier
1760166458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Amanetu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.