Individual provider Active NPI

Amanda Chenoa Szymczak, LPCMH

  • Professional Counselor
  • Dover, DE
National Provider Identifier
1770863094
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000641 Issued in DE
Practice address
103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone
(302) 678-3020
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X PC-0000641 DE Primary

Addresses

Primary practice location

103 Mont Blanc Blvd
Dover, DE 19904-7615

Mailing address

103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone (302) 531-6267

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

LicenseStateTypeSpecialty
PC-0000641DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Guidance Services for Children & Youth, Inc. PastSince Mar 4, 2021 Accepting new patients
Balanced Mind Counseling Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1770863094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-531-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-678-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMCZAK",
        "first_name": "AMANDA",
        "middle_name": "CHENOA",
        "name_prefix": "Ms.",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.