Amanda Elise Tracy, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

220 N Ballston Ave
Scotia, NY 12302-2533

Phone

(518) 374-3514

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Samaritan Licensed Clinical Social Work, PC

  • Mental Health Counselor
  • Scotia, NY
  • NPI 1841396884
  Medicare reassignment NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1881284099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N BALLSTON AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022533",
            "telephone_number": "518-374-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N BALLSTON AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022533",
            "telephone_number": "518-374-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "AMANDA",
        "middle_name": "ELISE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.samaritancounselingcenter.org/",
            "affiliation": "N",
            "endpointDescription": "Practice website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Practice website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice Website",
            "address_1": "220 N Ballston Ave",
            "city": "Scotia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123022533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Marie Terry
• The Golub Corporation
• Casey Brooke Thompson
• Erika Thompson, COTA/L
• Emily Samantha Tosi, LCSW
• Rosemarie Agresta Trigger, PT CSHE
• Shari Trudell
• Marsha M Tulloch, LPN
• Cheryl Marion Urban-Wessinger
• Jonathan Vanderbeck

• Mental Health Counselor in Scotia, NY
• Providers in Scotia, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.