Amanda Gentile, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC011446 Issued in PA

Practice address

311 Penn Ave
Scranton, PA 18503-1211

Phone

(570) 800-1963

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1881255065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031211",
            "telephone_number": "570-800-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031211",
            "telephone_number": "570-800-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geisinger Viewmont Sleep Disorder Center
• Geisinger Wyoming Valley
• Gemini Recovery Centers at Scranton, LLC
• Gerard Thomes Genco, GERARD GENCO
• Louis Genello, DDS
• Kenneth W. Gentilezza, M.D.
• Olivia Elizabeth Gentilezza, PA-C
• Nicole A George, LPN
• Sandya George, DO
• Taylor George, DO

• Mental Health Counselor in Scranton, PA
• Providers in Scranton, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.