AMANDA MARIE HORTH (NPI# 1659913853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659913853 |
Entity Type | Individual |
Full Name | AMANDA MARIE HORTH |
Practice Address |
620 Erie Blvd W Ste 208 Syracuse NY 13204-2457 |
Practice Telephone | 3154727363 |
Practice Fax Number | 3157012368 |
Mailing Telephone | 3154727363 |
Mailing Fax Number | 3157012368 |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
009897-01 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 009897-01 | 05 |
Street Address |
620 ERIE BLVD W STE 208 |
City | SYRACUSE |
State | NY |
Zip Code | 13204-2457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
1811596968 | Breanna Teresa Mcintyre | Social Worker | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2020-10-20 |
1881293116 | Elizabeth Houston | Social Worker | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2020-10-19 |
1992303630 | Crystal Houston | Marriage & Family Therapist | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2020-10-14 |
1033775408 | Ashley Michelle Price | Nurse Practitioner | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2019-05-11 |
1538630173 | Cody Patrick Campbell | Social Worker | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-12-07 |
1457831901 | Nicole Moody | Counselor | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-08-15 |
1497252563 | Onondaga Case Management Services Inc. | Clinic/Center | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-04-06 |
1669988788 | Joann Daucher | Licensed Practical Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2017-12-27 |
1538672860 | Jixuan Zhao | Social Worker | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2017-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
1164667754 | Jessica Gabrielle Peppe | Speech-Language Pathologist | 1744 West Genesee Street, Syracuse, NY 13204 | 2008-12-10 |
Find all providers in zip 13204 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275168155 | Kristin M Neagle | Counselor | 420 East Genesee St, Syracuse, NY 13202-2129 | 2020-03-11 |
1376182881 | Staceyann Reid | Counselor | 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 | 2019-12-31 |
1265091375 | Kevin Joseph Roche | Counselor | 32a Ball Rd, Syracuse, NY 13215-1602 | 2019-06-12 |
1356905996 | Niccole R Lorenzo | Counselor | 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 | 2019-04-29 |
1194281972 | Melissa Button | Counselor | 132 Nichols Ave, Syracuse, NY 13206-3045 | 2019-02-16 |
1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
1033626601 | Daniel Cervantes | Counselor | 46 Ems D18 Ln, Syracuse, IN 46567-7907 | 2018-01-04 |
1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
1326436700 | Christine Matteson | Counselor | 1600 Teall Ave, Syracuse, NY 13206-3231 | 2015-01-07 |
Find all providers in SYRACUSE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.