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Amanda Nicole Marra, LPC

Counselor, Professional in Clarks Summit, PA. Individual provider (NPI-1).

NPI number1164038691
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1164038691
Entity type
Individual (NPI-1)
Name
Amanda Nicole Marra
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2020
Certification date
May 22, 2023
Last updated
May 22, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalPC012684PAYes

Practice location

406 N State St
Clarks Summit, PA 18411-1062

Phone 570-316-6326

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434

Phone 570-335-1612 · Fax 570-299-2521

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Professional Counselor providers in Clarks Summit, PA

All 26 Professional Counselor providers in Clarks Summit · All 417 providers in Clarks Summit

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