AMANDA ARCHER MHC
NPI 1780422824
Counselor - Mental Health in Ovid, NY

Active since July 15, 2024PECOS Enrolled

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Archer Mhc NPPES

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

AMANDA ARCHER MHC (NPI 1780422824) is an individual mental health provider in Ovid, New York and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterloo, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780422824
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ARCHERCredential: MHC
Location Address7204 MAIN STOvid, NY 14521
Mailing Address31 Thurber DrWaterloo, NY 13165-1665
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1780422824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7204 MAIN ST, Ovid, NY 14521

Secondary Practice Location 1

Location 131 Thurber DrWaterloo, NY 13165-1665 · Phone (315) 539-1980

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8729552773
PECOS Enrollment IDI20260701000960
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 Archer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
31 THURBER DR
Waterloo, NY 13165
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Seneca County Treasurer
  • 30 clinicians in this Medicare group

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

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

Social Worker
7204 MAIN ST
OVID, NY 14521

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 Archer's NPI number?

The NPI number for Amanda Archer is 1780422824. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Amanda Archer located?

Amanda Archer practices at 7204 Main St, Ovid, NY 14521. The listed phone number is (315) 220-3201.

What is Amanda Archer's specialty?

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

Is Amanda Archer enrolled in Medicare?

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

Which organization bills Medicare for Amanda Archer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Archer reassigns Medicare benefits to Seneca County Addictions Program (Waterloo, 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 Archer'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 Archer was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.