AMY L ANTONELLI CSAC
NPI 1538754114
Counselor - Mental Health in Virginia Beach, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 04, 2021PECOS Enrolled

3630 S PLAZA TRL STE 150A, VIRGINIA BEACH, VA 23452(757) 985-6116 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2021, Mar 4, 2021 (2 updates tracked since 2021).

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About Amy L Antonelli Csac NPPES

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

AMY L ANTONELLI CSAC (NPI 1538754114) is an individual mental health provider in Virginia Beach, Virginia, licensed in Virginia (0701010376) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538754114

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMY L ANTONELLICredential: CSAC

Location Address3630 S PLAZA TRL STE 150AVirginia Beach, VA 23452-3371

Mailing Address825 Windom PlVirginia Beach, VA 23454-3416 · (757) 985-6116

Phone(757) 985-6116

Sole ProprietorYes

Enumeration DateMarch 4, 2021

Last NPPES UpdateApril 1, 20212 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1538754114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0701010376

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710103542 (VA)

3630 S PLAZA TRL STE 150A, Virginia Beach, VA 23452

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Medicare Participation & PECOS Enrollment Status

Amy Antonelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No