AMANDA ASHLEY VACCA LMHC
NPI 1760912216
Counselor - Mental Health in Harrison, NY

Active since June 18, 2017PECOS Enrolled
275 NORTH ST, HARRISON, NY 10528(914) 925-5416 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Jun 18, 2017 (2 updates tracked since 2017).

About Amanda Ashley Vacca Lmhc NPPES

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

AMANDA ASHLEY VACCA LMHC (NPI 1760912216) is an individual mental health provider in Harrison, New York, licensed in New York (009589) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760912216
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ASHLEY VACCACredential: LMHC
Location Address275 NORTH STHarrison, NY 10528-1140
Mailing Address4 Bragdon AveDanbury, CT 06811-3410
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2017
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1760912216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 009589
275 NORTH ST, Harrison, NY 10528

Other Names 1

Former Name (1)Amanda Ashley Gomes

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 Ashley Vacca Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294245692
PECOS Enrollment IDI20250605002795
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.

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.

Social Worker (Clinical)
275 NORTH ST
HARRISON, NY 10528
Counselor (Mental Health)
275 NORTH ST
HARRISON, NY 10528
Counselor
275 NORTH ST
HARRISON, NY 10528
Counselor
275 NORTH ST
HARRISON, NY 10528
Social Worker (Clinical)
275 NORTH ST
HARRISON, NY 10528
Counselor
275 NORTH ST, ACT TEAM
HARRISON, NY 10528
Registered Nurse
275 NORTH ST
HARRISON, NY 10528
Social Worker (Clinical)
275 NORTH ST
HARRISON, NY 10528

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 Vacca's NPI number?

The NPI number for Amanda Vacca is 1760912216. It was assigned to this individual provider in the NPPES registry on June 18, 2017. The provider is also known as Amanda Ashley Gomes.

Where is Amanda Vacca located?

Amanda Vacca practices at 275 North St, Harrison, NY 10528. The listed phone number is (914) 925-5416.

What is Amanda Vacca's specialty?

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

Is Amanda Vacca enrolled in Medicare?

Yes. Amanda Vacca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Vacca was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.