Amanda Peercy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW9778 Issued in FL

Practice address

1176 Cypress Glen Cir
Kissimmee, FL 34741-7560

Phone

(407) 201-2103

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4

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.

• Neumind Wellness Group LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
  • NPI 1396101697
  NPD
• Florida Vein Care Specialists LLC

  • Vascular Surgery Physician
  • Davenport, FL
  • NPI 1689917445
  NPD (past)
• Life & Work Soulutions, Inc.

  • Case Management Agency
  • Orlando, FL
  • NPI 1447688338
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1962824714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4694 BERINGER DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-201-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERCY",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "101YM0800X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW9778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010756600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrics of Central Florida P.a.
• Pediatrics of Central Florida P.a.
• Luz Pedraza
• Lester Pedre
• Marielis Pedroza Alicea, MD
• Gladys Peguero, APRN
• Pelican Counseling, LLC
• Robert William Pell, MD
• Yarelis Pena Algarin
• Luisa Maray Pena Diaz, APRN

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.