Individual provider Active NPI

Amber Kinney, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1174008437
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000525A Issued in IN
Practice address
819 E 64TH St Ste 240
Indianapolis, IN 46220-1672
Phone
(317) 550-0152
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000525A IN Primary

Addresses

Primary practice location

819 E 64TH St Ste 240
Indianapolis, IN 46220-1672

Mailing address

819 E 64TH St Ste 240
Indianapolis, IN 46220-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 5, 2024 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88000525AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Kinney, LLC Mental Health CurrentSince Dec 1, 2023 Accepting new patients

Locations

819 E 64th St
Ste 240
Indianapolis, IN 46220
Phone (317) 550-0152

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1174008437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 E 64TH ST STE 240",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E 64TH ST STE 240",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201672",
            "telephone_number": "317-550-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "AMBER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000525A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.