Individual provider Active NPI

Amanda Friedman, MS LPCC-S

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1780130997
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800953-SUPV Issued in OH
Practice address
431 Ohio Pike Ste 103N
Cincinnati, OH 45255-3372
Phone
(513) 655-6911
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X E.1700191-SUPV OH
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X C.2204064 OH
Professional Counselor 101YP2500X C.1600468 OH
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X I.2103241 OH
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X S.1500241 OH
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X E.1800953-SUPV OH Primary

Addresses

Primary practice location

431 Ohio Pike Ste 103N
Cincinnati, OH 45255-3372

Mailing address

431 Ohio Pike Ste 103N
Cincinnati, OH 45255-3372
Phone (513) 655-6911

Other names 1

  • Mandy Friedman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240905000673 OH Practitioner - Mental Health Counselor 0547639981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mfriedman MHC LLCGroup PAC ID 5890235899, 3 clinicians

Practice addresses (Care Compare)

431 Ohio Pike
Suite 214N
Cincinnati, OH 45255-3356

431 Ohio Pike
Suite 214N
Cincinnati, OH 45255-3629
Phone (513) 655-6911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C.1600468OHMDProfessional Counselor
C.2204064OHMDProfessional Counselor
E.1700191-SUPVOHMDProfessional Counselor
I.2103241OHMDClinical Social Worker
S.1500241OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mfriedman MHC LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

431 Ohio Pike
Ste 103N
Cincinnati, OH 45255
Phone (513) 655-6911

431 Ohio Pike
Ste 214N
Cincinnati, OH 45255
Phone (513) 655-6101

Organizations & group practices 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1780130997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 103N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553372",
            "telephone_number": "513-655-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 103N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553372",
            "telephone_number": "513-655-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "AMANDA",
        "credential": "MS LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700191-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204064",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1600468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103241",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1500241",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800953-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "FRIEDMAN",
            "credential": "MS LPCC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.