Active NPI
Amy B. Greenamyer, PH.D.
- Counseling Psychologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 129133
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7742724 | Other | KY | AETNA |
| 000000366511 | Other | KY | BLUE SHIELD |
| 787418000 | Other | KY | MAGELLAN |
| 8900103600 | Medicaid | KY |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 129133 | KY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy B. Greenamyer, PHD, PLLC | Counseling | Current | Accepting new patients |
| Green Line Wellness PLLC | Current | Accepting new patients | |
| 12 Sherpas, PLLC | Current | Accepting new patients | |
| Larry M. Raskin, PH.D., P.S.C. | Past | 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.
-
- Counseling Psychologist
- Louisville, KY
- NPI 1124320296
-
dba Compass Counseling and Psychological Services
- Clinical Psychologist
- Louisville, KY
- NPI 1356713184
-
dba Green Line Wellness
- Clinical Psychologist
- Louisville, KY
- NPI 1235492711
-
dba Psychology Resource Group
- Psychologist
- Louisville, KY
- NPI 1952389389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.