AMANDA MOLITERNO
NPI 1730896929
Counselor in Lawrenceville, GA

Q: What is Amanda Moliterno's NPI number?

The NPI number for Amanda Moliterno is 1730896929. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Q: What is Amanda Moliterno's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Moliterno was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 28, 2022PECOS Enrolled

175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Moliterno NPPES

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

AMANDA MOLITERNO (NPI 1730896929) is an individual counselor in Lawrenceville, Georgia, licensed in Georgia (LPC012766) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730896929

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMANDA MOLITERNO

Location Address175 GWINNETT DRLawrenceville, GA 30046-8444

Mailing Address2403 Noble Creek Dr NwAtlanta, GA 30327-5112 · (330) 398-4162

Phone(678) 209-2394

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 28, 2022

NPPES CertifiedOctober 28, 2022

✔ NPI 1730896929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in GA · LPC012766

Definition

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.

175 GWINNETT DR, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Moliterno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113402801

PECOS Enrollment IDI20260331001798

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.

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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.

MS. KATHERINE ANNE STURGIS

Counselor