Active NPI
Amber Ann Romero, MSP
- Mental Health Counselor
- Peoria, AZ
National Provider Identifier
1104428820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 14050 N 83Rd Ave Ste 290
Peoria, AZ 85381-5650 - Phone
- (602) 529-6102
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
14050 N 83Rd Ave Ste 290
Peoria, AZ 85381-5650
Mailing address
14401 N 5TH St
Phoenix, AZ 85022-4262
Phone (602) 918-9797
Other practice location 1
14401 N 5th St
Phoenix, AZ 85022-4262
Phone (602) 918-9797
Other names 1
- Amber Ann Potthoff
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1104428820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14401 N 5TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224262",
"telephone_number": "602-918-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 N 83RD AVE STE 290",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815650",
"telephone_number": "602-529-6102"
}
],
"practiceLocations": [
{
"address_1": "14401 N 5th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850224262",
"country_code": "US",
"telephone_number": "602-918-9797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "AMBER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "POTTHOFF",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.