Active NPI
Amanda Gray Depippo, LMHC, CAP
- Mental Health Counselor
- Lutz, FL
National Provider Identifier
1790042414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 9857
- Practice address
- 17886 N US Highway 41
Lutz, FL 33549-4502 - Phone
- (850) 519-7578
- NPI assigned
- Apr 19, 2012
- 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 | MH 9857 | FL | Primary |
Addresses
Primary practice location
17886 N US Highway 41
Lutz, FL 33549-4502
Mailing address
17886 N US Highway 41
Lutz, FL 33549-4502
Phone (850) 519-7578
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 |
|---|---|---|---|
| MH 9857 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1790042414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17886 N US HIGHWAY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494502",
"telephone_number": "850-519-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17886 N US HIGHWAY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494502",
"telephone_number": "850-519-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPIPPO",
"first_name": "AMANDA",
"middle_name": "GRAY",
"credential": "LMHC, CAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 9857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.