Individual provider Active NPI

Amy B. Greenamyer, PH.D.

  • Counseling Psychologist
  • Louisville, KY
National Provider Identifier
1871572313
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
129133 Issued in KY
Practice address
7984 New la Grange Rd
Louisville, KY 40222-4718
Phone
(502) 426-2777
Fax
(502) 426-2776
NPI assigned
Jan 12, 2006
Last updated
Aug 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 129133 KY Primary

Addresses

Primary practice location

7984 New la Grange Rd
Louisville, KY 40222-4718

Mailing address

7984 New la Grange Rd
Louisville, KY 40222-4718
Phone (502) 426-2777

Other identifiers 4

IdentifierTypeStateIssuer
7742724OtherKYAETNA
000000366511OtherKYBLUE SHIELD
787418000OtherKYMAGELLAN
8900103600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050202000822 KY Practitioner - Clinical Psychologist 7416908892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7984 New la Grange Rd
Louisville, KY 40222-4718
Phone (502) 426-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
129133KYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy B. Greenamyer, PHD, PLLC Counseling CurrentSince Jul 28, 2010 Accepting new patients
Green Line Wellness PLLC Current Accepting new patients
12 Sherpas, PLLC CurrentSince Aug 22, 2015 Accepting new patients
Larry M. Raskin, PH.D., P.S.C. PastSince Sep 27, 1999 Accepting new patients

Locations

6520 Glenridge Park Pl
Ste 1
Louisville, KY 40222
Phone (502) 509-7357

7984 New La Grange Rd
Louisville, KY 40222
Phone (502) 426-2777

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1871572313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 NEW LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224718",
            "telephone_number": "502-426-2777",
            "fax_number": "502-426-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 NEW LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224718",
            "telephone_number": "502-426-2777",
            "fax_number": "502-426-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENAMYER",
        "first_name": "AMY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "129133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7742724",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000366511",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "787418000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900103600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.