Amanda Lauren Wood, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010006 Issued in NY

Practice address

2291 Victory Blvd
Staten Island, NY 10314-6625

Phone

(929) 529-5273

NPI assigned

Mar 21, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Peace of Mind Mental Health Counseling Staten Island PLLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1457084469
  NPD Authorized official

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1972007243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 NEW DORP LN STE 6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063050",
            "telephone_number": "646-258-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "929-529-5273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Victory Blvd Side",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103146612",
            "country_code": "US",
            "telephone_number": "929-529-5273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P09577",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puiyan May Wong, NURSE PRACTIONER
• Eunice H Woo, ANP
• Michael Woo, MD
• Siu Ying Woo, LCSW
• Stanley Woo
• Molly Frances Wood, M.S.
• Alexandra Woodford
• Woodrow Dental P.C.
• Woodrow Family Dentistry PC
• Woodrow Little Smiles Family Dentistry P.C.

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Oct 1, 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.