AMANDA MARIE JOHNSTON-PORTER CRPA-P
NPI 1164071882
Peer Specialist in Waterloo, NY

Active since September 05, 2019
31 THURBER DR, WATERLOO, NY 13165(315) 539-1985(315) 539-4393 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Marie Johnston-porter Crpa-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARIE JOHNSTON-PORTER CRPA-P (NPI 1164071882) is an individual peer specialist in Waterloo, New York and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1164071882
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA MARIE JOHNSTON-PORTERCredential: CRPA-P
Location Address31 THURBER DRWaterloo, NY 13165-1665
Mailing Address18 Fayette StWaterloo, NY 13165-1708 · (315) 539-1957 · Fax (315) 539-4393
Fax(315) 539-4393
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
NPI 1164071882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
31 THURBER DR, Waterloo, NY 13165

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnston-porter's NPI number?

The NPI number for Amanda Johnston-porter is 1164071882. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Amanda Johnston-porter located?

Amanda Johnston-porter practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1985.

What is Amanda Johnston-porter's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Johnston-porter was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.