Active NPI
James E Amelsberg, LSW, LMHC
- Clinical Social Worker
- Forest City, IA
National Provider Identifier
1063586840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2032
- Practice address
- 101 N Clark St Ste B
Forest City, IA 50436-1615 - Phone
- (641) 585-3575
- Fax
- (641) 585-1780
- NPI assigned
- Nov 20, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00265 | IA | |
| Clinical Social Worker | 1041C0700X | 2032 | IA | Primary |
Addresses
Primary practice location
101 N Clark St Ste B
Forest City, IA 50436-1615
Mailing address
101 N Clark St Ste B
PO Box 333
Forest City, IA 50436-1615
Phone (641) 585-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00265 | IA | MD | Mental Health Counselor |
| 2032 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063586840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N CLARK ST STE B",
"address_2": "PO BOX 333",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504361615",
"telephone_number": "641-585-3575",
"fax_number": "641-585-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N CLARK ST STE B",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504361615",
"telephone_number": "641-585-3575",
"fax_number": "641-585-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMELSBERG",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LSW, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00265",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "2032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.