Amanda S Holbrook, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004651-01 Issued in NY

Practice address

1612 Genesee St
Utica, NY 13502-5425

Phone

(315) 724-5173

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Center of the Mohawk Valley, Inc.Group PAC ID 8921083882, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 Counseling Center of the Mohawk Valley, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1649377854
  Medicare reassignment Care Compare group NPD
• Samaritan Counseling Center of the Mohawk Valley, Inc

  • Social Worker
  • Utica, NY
  • NPI 1588903454
  NPD (past)
• Samaritan Counseling Center of the Mohawk Valley, Inc.

  • Social Worker
  • Utica, NY
  • NPI 1669679627
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1881971661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025425",
            "telephone_number": "315-724-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025425",
            "telephone_number": "315-724-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004651-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004651-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldar Hodzic, FNP
• Emma Catherine Hodzic, RN, BSN
• Christina Hoffman
• Melissa Hogan
• Dawna June Hohall
• Holmes Elderly Companion Services
• Geordan Holmes, LMHC, NCC
• Lisa Marie Holmes, FNP
• Cathleen M Holtslag, RPH
• Peggy Holz

• Mental Health Counselor in Utica, NY
• Providers in Utica, 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 Mar 10, 2023; 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.

Verify at the official NPI Registry.