Amelie Southwood, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007529 Issued in NY

Practice address

16 Haven CT
Nyack, NY 10960-1933

Phone

(646) 267-1346

NPI assigned

Nov 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Live to Thrive Mental Health Counseling, PLLC

  • Counselor
  • Suffern, NY
  • NPI 1598331738
  Medicare reassignment NPD Authorized official
• Live to Thrive

  • Mental Health Counselor
  • Suffern, NY
  • NPI 1386122604
  NPD (past) Authorized official
• DME PLS Inc

  • Prosthetic/Orthotic Supplier
  • Suffern, NY
  • NPI 1467171991
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1932642014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAVEN CT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601933",
            "telephone_number": "646-267-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAVEN CT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601933",
            "telephone_number": "646-267-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWOOD",
        "first_name": "AMELIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13915405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soledad Soriano-Kaplan Mental Health Counselor, PLLC
• Olivia Ashraf Ayoub Soliman, RPH
• Beth Sorger, MSW
• Soledad Soriano-Kaplan, LMHC, CRC
• Latoya Simone Southwell
• Speech Language Pathology Unlimited, PLLC
• Aleksandra Spektor
• Michael Bart Sperling, PH.D.
• Jillian P St. Denis
• Anne Margaret Starke, RN

• Mental Health Counselor in Nyack, NY
• Providers in Nyack, 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 Nov 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.