Amaris Avellan, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5422 First Coast Hwy Ste 102
Amelia Island, FL 32034-5403

Phone

(949) 232-0513

NPI assigned

Sep 14, 2021

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch Academy for Neurodivergent Youth and Young Adults L.L.C.

  • Mental Health Counselor
  • Amelia Island, FL
  • NPI 1790519270
  NPD Authorized official
• Total Spectrum Counseling, a Psychological Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
  • NPI 1376145946
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1891465787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 3RD ST S # 121",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505847",
            "telephone_number": "949-232-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY STE 102",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345403",
            "telephone_number": "949-232-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Monterey St Ste H",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013241",
            "country_code": "US",
            "telephone_number": "424-254-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVELLAN",
        "first_name": "AMARIS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dramarismonarchndacademy.square.site/",
            "affiliation": "N",
            "endpointDescription": "Dr. Amaris With Monarch Academy and Institute for Psych Development",
            "address_1": "5422 First Coast Hwy Ste 102",
            "city": "Amelia Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320345403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shelley Hicks Botts, CCC/SLP
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• CMZ Chiropractic LLC
• Family Counseling & Psychological Services LLC
• Genesis Eldercare Rehabilitation Services LLC

• Professional Counselor in Amelia Island, FL
• Providers in Amelia Island, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.