Active NPI
Amanda Leigh Kranich, #IMH-26007
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1780429530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH26007
- Practice address
- 5280 Summerlin Commons Way Ste 804
Fort Myers, FL 33907-2160 - Phone
- (239) 297-7099
- NPI assigned
- Jun 25, 2024
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH26007 | FL | Primary |
Addresses
Primary practice location
5280 Summerlin Commons Way Ste 804
Fort Myers, FL 33907-2160
Mailing address
7164 Kola Ter Apt 32
Fort Myers, FL 33907-7712
Phone (201) 694-0782
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH26007 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Art Therapy Services, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1427435494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1780429530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7164 KOLA TER APT 32",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077712",
"telephone_number": "201-694-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5280 SUMMERLIN COMMONS WAY STE 804",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072160",
"telephone_number": "239-297-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANICH",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "#IMH-26007",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH26007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.