Amanda Nycole Kassay, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008067 Issued in VA

Practice address

13817 Village Mill Dr Ste R
Midlothian, VA 23114-4378

Phone

(855) 284-7483

Fax

(617) 807-0958

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Nycole Strouth Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  Medicare reassignment NPD
• Cumberland Mountain Community Services

  • Community/Behavioral Health Agency
  • Cedar Bluff, VA
  • NPI 1235125055
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1811451677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 VILLAGE MILL DR STE R",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144378",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Cumberland Road",
            "address_purpose": "LOCATION",
            "city": "Cedar bluff",
            "state": "VA",
            "postal_code": "246090810",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 Rogers Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Stillhouse Hollow Road",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "24614",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "578 Main Street",
            "address_purpose": "LOCATION",
            "city": "TAzewell",
            "state": "VA",
            "postal_code": "24651",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAY",
        "first_name": "AMANDA",
        "middle_name": "NYCOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STROUTH",
            "middle_name": "NYCOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanine A. R. Kaplan, OT
• Kapwa Wellness LLC
• Joseph Karch, MD, PHD
• Karma Ventures, Inc. (Visiting Angels)
• Jennifer Kashurba, FNP
• Katebowersmd (Firefly Pediatrics)
• Katherine H Helfrich
• Katy Garraghty LLC
• Adam Thomas Kaul, MD
• Rishika Kaundal, M.D.

• Professional Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.