NPIMap

Individual provider Active NPI

Amber Ni'Kole Fields

  • Professional Counselor
  • Slidell, LA
National Provider Identifier
1104472703
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9618 Issued in LA
Practice address
1258 Brownswitch Rd Ste Candd
Slidell, LA 70461-1605
Phone
(985) 661-0560
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9618 LA Primary
Mental Health Counselor 101YM0800X PLC9618 LA
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X 009481558 LA

Addresses

Primary practice location

1258 Brownswitch Rd Ste Candd
Slidell, LA 70461-1605

Mailing address

6096 Tezcuco CT
Gonzales, LA 70737-8524
Phone (225) 978-9909

Other practice location 1

14635 S Harrells Ferry Rd Ste 3A
Baton Rouge, LA 70816-2960
Phone (225) 349-8984

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

LicenseStateTypeSpecialty
PLC9618LAMDMental Health Counselor
9618LAMDProfessional Counselor
009481558LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Family Counseling, LLC Mental Health PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1104472703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 TEZCUCO CT",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378524",
            "telephone_number": "225-978-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 BROWNSWITCH RD STE CANDD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611605",
            "telephone_number": "985-661-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14635 S Harrells Ferry Rd Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708162960",
            "country_code": "US",
            "telephone_number": "225-349-8984",
            "fax_number": "844-269-9818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "AMBER",
        "middle_name": "NI'KOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9618",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC9618",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "009481558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.