Individual provider Active NPI

Marsha Lea Amstel, LCSW

  • Mental Health Counselor
  • Putnam Valley, NY
National Provider Identifier
1912062613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PR013184 Issued in NY
Practice address
203 Waterside Professional Park
Suite 203
Putnam Valley, NY 10579-3505
Phone
(914) 528-8690
Fax
(914) 528-2701
NPI assigned
Dec 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PR013184 NY Primary

Addresses

Primary practice location

203 Waterside Professional Park
Suite 203
Putnam Valley, NY 10579-3505

Mailing address

203 Waterside Professional Park
PO Box 112
Putnam Valley, NY 10579-3505
Phone (914) 528-8690

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR013184NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912062613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WATERSIDE PROFESSIONAL PARK",
            "address_2": "PO BOX 112",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793505",
            "telephone_number": "914-528-8690",
            "fax_number": "914-528-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATERSIDE PROFESSIONAL PARK",
            "address_2": "SUITE 203",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793505",
            "telephone_number": "914-528-8690",
            "fax_number": "914-528-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSTEL",
        "first_name": "MARSHA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PR013184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.