Individual provider Active NPI

Amy Lynn Protho

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1811598949
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012130 Issued in PA
Practice address
3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone
(412) 857-3717
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012130 PA Primary

Addresses

Primary practice location

3495 Butler St Ste 3
Pittsburgh, PA 15201-1375

Mailing address

3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240820001225 PA Practitioner - Mental Health Counselor 9830637941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samkirk LLC Professional CurrentSince May 20, 2024 Accepting new patients

Locations

3495 Butler St
Ste 3
Pittsburgh, PA 15201
Phone (412) 357-8717

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1811598949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 BUTLER ST STE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011375",
            "telephone_number": "412-857-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BUTLER ST STE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011375",
            "telephone_number": "412-857-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTHO",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.