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AMANDA EMMERICH
NPI 1912603010
Counselor - Mental Health in Huntington, NY

Active since February 01, 2023PECOS Enrolled
790 PARK AVE, HUNTINGTON, NY 11743(631) 427-3700 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 2, 2025, Dec 11, 2024, Oct 5, 2024 and 2 more (5 updates tracked since 2023).

About Amanda Emmerich NPPES

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

AMANDA EMMERICH (NPI 1912603010) is an individual mental health provider in Huntington, New York, licensed in New York (015477) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Forest Hills.

NPPES Registry Identity

NPI1912603010
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA EMMERICH
Location Address790 PARK AVEHuntington, NY 11743-4516
Mailing Address8 Phyllis DrEast Northport, NY 11731-6416 · (631) 639-4203
Phone(631) 427-3700
Sole ProprietorYes
Enumeration DateFebruary 1, 2023
Last NPPES UpdateApril 2, 20255 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1912603010 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 · 015477
790 PARK AVE, Huntington, NY 11743
Open in Google Maps ↗

Secondary Practice Location 1

Location 17211 Austin St # 102Forest Hills, NY 11375-5354 · Phone (631) 320-8749

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Emmerich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service League, Inc.
Same address
Community/Behavioral Health
790 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1528093242 (631) 427-3700

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.

ALEXANDRA GUARDINO
Student in an Organized Health Care Education/Training Program
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
MARY K ROONEY
Social Worker
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 385-2305
DR. JENNIFER MCINTOSH PHD, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-4001
ALYSSA LYNN SMYTH
Case Manager/Care Coordinator
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
ANNE LORETZ
Social Worker
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
ELIZABETH BARRY NP
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
MS. MARILYN DUFFY GRANDE LMSW
Social Worker
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
MRS. ALICIA RENA WILLIAMS-HICKSON LMSW
Social Worker (Clinical)
790 PARK AVE, FAMILY SERVICE LEAGUE
HUNTINGTON, NY 11743
Suffolk County (631) 369-0104

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 Emmerich's NPI number?

The NPI number for Amanda Emmerich is 1912603010. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Amanda Emmerich located?

Amanda Emmerich practices at 790 Park Ave, Huntington, NY 11743. The listed phone number is (631) 427-3700.

What is Amanda Emmerich's specialty?

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

Is Amanda Emmerich enrolled in Medicare?

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

Which organization bills Medicare for Amanda Emmerich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Emmerich reassigns Medicare benefits to Family Service League, Inc. (Huntington, 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 Emmerich'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 Emmerich was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.