Individual provider Active NPI

Ambrosia Alanna McCoy

  • Counselor
  • Myerstown, PA
National Provider Identifier
1861048431
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW132708 Issued in PA
Practice address
39 W Main Ave
Myerstown, PA 17067-1122
Phone
(717) 376-3075
Fax
(844) 252-3899
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW132708 PA Primary

Addresses

Primary practice location

39 W Main Ave
Myerstown, PA 17067-1122

Mailing address

PO Box 512
Myerstown, PA 17067-0512
Phone (717) 376-3075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ambrosiamccoy@lifestrategy-consultants.com

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

LicenseStateTypeSpecialty
SW132708PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategy Consultants, LLC PastSince Aug 11, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1861048431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170670512",
            "telephone_number": "717-376-3075",
            "fax_number": "844-252-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W MAIN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671122",
            "telephone_number": "717-376-3075",
            "fax_number": "844-252-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "AMBROSIA",
        "middle_name": "ALANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "SW132708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ambrosiamccoy@lifestrategy-consultants.com",
            "affiliation": "N",
            "address_1": "39 W Main Ave",
            "city": "Myerstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170671122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.