Amber E Michels, MS, LPCC
Individual provider Active NPI Mental Health Counselor · Waconia, MN
NPI 1154429975 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1154429975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1373 (MN)
- Practice address
- 540 E 1St St
Waconia, MN 55387-1600 - Phone
- (952) 442-4437
- Fax
- (952) 442-3084
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240217000604 | MN | Practitioner - Mental Health Counselor | 0941644926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1373 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carver County | Current |
Accepting new patients |
Locations
540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1373 | MN | Yes |
Addresses
Primary practice location
540 E 1St St
Waconia, MN 55387-1600
Mailing address
540 E 1St St
Waconia, MN 55387-1600
Phone (952) 442-4437
Other practice location 1
308 12th Ave S
Buffalo, MN 55313-2321
Phone (763) 682-4400
Other providers in Waconia, MN
- Abby Therese Messer
- Carrie Dawn Meyer
- Christopher Patrick Meyer
- Jamie Meyer
- Kathleen R Michalk
- Midwest TMS LLC
- Anthony James Mielke
- Andrew Tyler Miller
- Cristy Miller
- Minneapolis Heart Institute at Ridgeview Heart Center, LLC
All providers in Waconia, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.