Individual provider Active NPI

Amanda Jean Pellington, MS, LMHC

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1891983383
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9007 Issued in FL
Practice address
2801 E Lake Rd
Palm Harbor, FL 34685-1813
Phone
(727) 784-9250
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9007 FL Primary

Addresses

Primary practice location

2801 E Lake Rd
Palm Harbor, FL 34685-1813

Mailing address

4979 Barclay Dr Apt 106
Palm Harbor, FL 34685-4163
Phone (727) 643-2615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH9007FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1891983383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 BARCLAY DR APT 106",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346854163",
            "telephone_number": "727-643-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851813",
            "telephone_number": "727-784-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINGTON",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.