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AMANDA MAUREEN MCINERNEY LMHC
NPI 1619458130
Counselor - Mental Health in Port Jefferson Station, NY

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment
650 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 403-3318(631) 509-4824 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2025, Aug 23, 2018 (2 updates tracked since 2018).

About Amanda Maureen Mcinerney Lmhc NPPES

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

AMANDA MAUREEN MCINERNEY LMHC (NPI 1619458130) is an individual mental health provider in Port Jefferson Station, New York and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2019).

NPPES Registry Identity

NPI1619458130
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA MAUREEN MCINERNEYCredential: LMHC
Location Address650 HALLOCK AVEPort Jefferson Station, NY 11776-1256
Mailing Address142 Sunset AveSelden, NY 11784-2924 · (631) 338-9795
Phone(631) 403-3318
Fax(631) 509-4824
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2019
Enumeration DateAugust 23, 2018
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1619458130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
650 HALLOCK AVE, Port Jefferson Station, NY 11776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Maureen Mcinerney Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092255976
PECOS Enrollment IDI20240905003826
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Mcinerney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th
1.4 mi
Clinical
414 MAIN ST STE 203A
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1699135566 (631) 478-3292

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

LIJO CHACKO
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 430-3318
ALISSA BROOKS LCSW
Social Worker
650 HALLOCK AVE
PORT JEFF STA, NY 11776
Suffolk County (631) 403-3318
MS. GRACEANN ELIZABETH BALDENKO
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFF STA, NY 11776
Suffolk County (631) 403-3318
MICHELLE CONELLI L.M.F.T., L.C.S.W.
Social Worker
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
MS. TINA-LOUISE HANNEL
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
MS. DANIELLE DOLORES OLIVERI
Counselor
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
BRIANA TAYLOR LMSW
Social Worker
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 949-6133
JESSICA PANZARINO LMSW
Social Worker (Clinical)
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318

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 Mcinerney's NPI number?

The NPI number for Amanda Mcinerney is 1619458130. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Amanda Mcinerney located?

Amanda Mcinerney practices at 650 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 403-3318.

What is Amanda Mcinerney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Mcinerney enrolled in Medicare?

Yes. Amanda Mcinerney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Mcinerney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mcinerney reassigns Medicare benefits to Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th (Port Jefferson, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Mcinerney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Mcinerney was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.