Amy Michele Allen, MS., M.ED., LMHC

Individual provider Active NPI Mental Health Counselor · Land O Lakes, FL

NPI 1881410132 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1881410132
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
24625 (FL)
Practice address
17531 Stinchar Dr
Land O Lakes, FL 34638-7874
Phone
(612) 219-6093
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PA (1,045 clinicians)

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250123003743 FL Practitioner - Mental Health Counselor 6709315542 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
24625FLMDMental Health Counselor

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health Current
since Dec 20, 2024
Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Networks

  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 24625 FL Yes

Addresses

Primary practice location

17531 Stinchar Dr
Land O Lakes, FL 34638-7874

Mailing address

17531 Stinchar Dr
Land O Lakes, FL 34638-7874
Phone (612) 219-6093

Other providers in Land O Lakes, FL

All providers in Land O Lakes, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.