Amber Screen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21115 Issued in FL

Practice address

PO Box 982
Bartow, FL 33831-0982

Phone

(863) 622-2189

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Adult Education Academy

  • Developmentally Disabled Services Day Training Agency
  • Bartow, FL
  • NPI 1760358303
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1013442367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338310982",
            "telephone_number": "863-934-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338310982",
            "telephone_number": "863-622-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "FL",
            "postal_code": "338413308",
            "country_code": "US",
            "telephone_number": "863-622-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Cleveland Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132243",
            "country_code": "US",
            "telephone_number": "863-622-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCREEN",
        "first_name": "AMBER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• School Board of Polk County, FL
• School Board of Polk County, FL
• School Board of Polk County, FL
• School Board of Polk County, FL
• School Board of Polk County, FL
• Melissia Michelle Seals, CRNP
• Senior Living Properties III, LLC
• Simon Shackelford
• Kathy Shepherd
• Tonya Sherrouse, LCSW

• Mental Health Counselor in Bartow, FL
• Providers in Bartow, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.