Amanda Gant Mantonya, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2022003067 Issued in MO

Practice address

7432 NW River Park Dr
Parkville, MO 64152-5028

Phone

(816) 268-8501

Fax

(816) 452-5700

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northland Psychological Associates LLC

  • Mental Health Counselor
  • Liberty, MO
  • NPI 1649453663
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1780445668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 NW RIVER PARK DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641525028",
            "telephone_number": "816-268-8501",
            "fax_number": "816-452-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 NW RIVER PARK DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641525028",
            "telephone_number": "816-268-8501",
            "fax_number": "816-452-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTONYA",
        "first_name": "AMANDA",
        "middle_name": "GANT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2022003067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lemmond
• Wendy Elaine Lewis, FNP-C
• Dominick Lewis Lucito, DPT
• Madeleine Lundgren, LMSW
• Florence Ann Mancuso, LPC
• Janelle Martinelli
• Alyssa Adeline Matthews
• Samantha Jean Matthews
• Michelle McClure
• Paula McConnell, LMSW

• Mental Health Counselor in Parkville, MO
• Providers in Parkville, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.