AMANDA STOUT (NPI# 1982840344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982840344 |
| Entity Type | Individual |
| Full Name | AMANDA STOUT |
| Credential | LCSW |
| Practice Address |
165 Main St Ste A Cortland NY 13045-3049 |
| Practice Telephone | 6077530234 |
| Mailing Telephone | 6077530234 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 085550 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1336163963 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 N Main St, Cortland, NY 130452130 | 6077530234 | 6077530286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447417381 | Amanda Stout | Registered Nurse | 210 Douglas Cir, Georgetown, OH 45121-1469 | 2008-05-19 |
| 1790278935 | Amanda Stout | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-12 |
| 1477097210 | Amanda Stout | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2016-12-13 |
| 1083079636 | Amanda Grace Stout | Pharmacist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2015-12-28 |
| 1699143859 | Amanda Jean Stout | Community Health Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2015-09-04 |
| Street Address |
165 MAIN ST STE A |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831306356 | Susan Bell Marks | Social Worker | 165 Main St Ste A, Cortland, NY 13045 | 2007-05-16 |
| 1609482751 | Alyssa Jacklyn Watson | Student in an Organized Health Care Education/Training Program | 165 Main St Ste A, Cortland, NY 13045-3191 | 2020-09-23 |
| 1790260297 | Melissa Bromwell | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2018-10-01 |
| 1063994366 | Doretha Michelle Baker | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2018-09-04 |
| 1831671460 | Derek Maurice Titus Sr. | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2018-08-30 |
| 1649751124 | Brittany Fultz | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2018-08-23 |
| 1851817241 | Erika Susan Dobereiner | Counselor | 165 Main St Ste A, Cortland, NY 13045 | 2017-08-17 |
| 1124577044 | Danielle Gillotti | Counselor | 165 Main St Ste A, Cortland, NY 13045 | 2016-10-04 |
| 1821548710 | Michelle Butts | Counselor | 165 Main St Ste A, Cortland, NY 13045 | 2016-10-04 |
| 1770032849 | Ashley Lallier | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096512 | Andrea Lisa Holmes | Counselor | 10 North Main St, Family Counseling Services, Cortland, NY 13045 | 2006-10-12 |
| 1104465517 | Charlotte Sweeney | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-01-02 |
| 1174162788 | Pamela Lynn Sanders | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-30 |
| 1629617634 | Allysan Loope | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-23 |
| 1265074876 | Alexandra Mikowski | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-10-15 |
| 1215583067 | Ethan Bardell | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-08-16 |
| 1598319501 | Gabrielle Satterly | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-07-29 |
| 1811541931 | Megan Speer | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-07-26 |
| 1912476011 | Jamie Kaye Miller | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2018-11-19 |
| 1861960874 | Timothy C. Wood | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2018-11-07 |
| Find all providers in CORTLAND | ||||
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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.