Individual provider Active NPI

Amber M Clay, LPC

  • Professional Counselor
  • Chapmanville, WV
National Provider Identifier
1093481087
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2621 Issued in WV
Practice address
594 Main St
Chapmanville, WV 25508
Phone
(304) 855-1222
Fax
(304) 310-2307
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2621 WV Primary

Addresses

Primary practice location

594 Main St
Chapmanville, WV 25508

Mailing address

PO Box 4013
Chapmanville, WV 25508-4013
Phone (304) 855-1222

Other practice location 1

174 Lmah Center Rd
Logan, WV 25601-4058
Phone (304) 792-7130 ext. 1027

Other identifiers 1

IdentifierTypeStateIssuer
2621OtherWVWV BOARD OF COUNSELING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20250212001850 WV Practitioner - Mental Health Counselor 9537699152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Access Corporation CurrentSince Dec 15, 2025 Accepting new patients
Logan-Mingo Area Mental Health, Inc. Past Accepting new patients
Rural Health Access Corporation PastSince Dec 14, 2025 Accepting new patients

Locations

386 Airport Rd
Chapmanville, WV 25508
Phone (304) 855-1200

Interoperability endpoints

  • Direct secure messaging: amber.clay.1@21756.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1093481087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4013",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255084013",
            "telephone_number": "304-855-1222",
            "fax_number": "304-310-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MAIN ST",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-1222",
            "fax_number": "304-310-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Lmah Center Rd",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256014058",
            "country_code": "US",
            "telephone_number": "304-792-7130 x1027",
            "fax_number": "304-896-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF COUNSELING",
            "identifier": "2621",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.