Individual provider Active NPI

Amy Rebecca Flynn, LPC

  • Professional Counselor
  • Washington, PA
National Provider Identifier
1942879937
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PCO13404 Issued in PA
Practice address
955 W Chestnut St Apt 5
Washington, PA 15301-4669
Phone
(724) 350-6799
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCO13404 PA Primary

Addresses

Primary practice location

955 W Chestnut St Apt 5
Washington, PA 15301-4669

Mailing address

1110 Gromwell LN
Bridgeville, PA 15017-2074
Phone (609) 980-8236

Other practice location 1

75 E Maiden St
Washington, PA 15301-4963
Phone (724) 228-2200 ext. 118

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

State licenses

LicenseStateTypeSpecialty
PCO13404PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1942879937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 GROMWELL LN",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172074",
            "telephone_number": "609-980-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CHESTNUT ST APT 5",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014669",
            "telephone_number": "724-350-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Maiden St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153014963",
            "country_code": "US",
            "telephone_number": "724-228-2200 x118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PCO13404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.