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AMANDA REYOME
NPI 1891043998
Counselor - Mental Health in Mattapan, MA

Active since August 21, 2012PECOS Enrolled
1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 296-0061(617) 296-5408 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Reyome NPPES

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

AMANDA REYOME (NPI 1891043998) is an individual mental health provider in Mattapan, Massachusetts and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891043998
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA REYOME
Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122
Mailing Address1774 Beacon St, Apt. 5Brookline, MA 02445-2056 · (219) 310-6137
Phone(617) 296-0061
Fax(617) 296-5408
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2012
Last NPPES UpdateApril 3, 2015
✔ NPI 1891043998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1575 BLUE HILL AVE, Mattapan, MA 02126
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Other Identifiers 1

Medicaid1305638MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4385184233
PECOS Enrollment IDI20240906001869
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 Reyome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mattapan Community Health Center Inc
Same address
Clinic/Center
1575 BLUE HILL AVE
Boston, MA 02126
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1942869342 (617) 296-0061

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 20

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

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
DR. MICHELLE DALENCOUR M.D.
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
DR. JASON LANIER OUTLAW DMD, DMSC
Dentist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
MS. SHAUNTELLE MALCOLM RN
Nurse Practitioner (Psychiatric/Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061

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 Reyome's NPI number?

The NPI number for Amanda Reyome is 1891043998. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Amanda Reyome located?

Amanda Reyome practices at 1575 Blue Hill Ave, Mattapan, MA 02126. The listed phone number is (617) 296-0061.

What is Amanda Reyome's specialty?

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

Is Amanda Reyome enrolled in Medicare?

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

Which organization bills Medicare for Amanda Reyome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Reyome reassigns Medicare benefits to Mattapan Community Health Center Inc (Boston, MA). 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 Reyome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Reyome accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Amanda Reyome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Reyome was last updated on April 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.