Individual provider Active NPI

Amber Gross, LCPC

  • Mental Health Counselor
  • Brunswick, ME
National Provider Identifier
1174763916
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC3952 Issued in ME
Practice address
136 Maine St Ste 6
Brunswick, ME 04011-2071
Phone
(207) 504-7892
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 CC3952 ME Primary

Addresses

Primary practice location

136 Maine St Ste 6
Brunswick, ME 04011-2071

Mailing address

136 Maine St Ste 6
Brunswick, ME 04011-2071
Phone (207) 504-7892

Other practice location 1

114 Maine St Ste 3
Brunswick, ME 04011-2029
Phone (207) 504-7892

Other practice location 2

114 Maine St Ste 3
Brunswick, ME 04011-2029
Phone (207) 504-7892

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
CC3952MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Gross Counseling, LLC Current Accepting new patients

Locations

136 Maine St
Ste 6
Brunswick, ME 04011
Phone (207) 240-2912

9 Bowdoin Mill Is
Topsham, ME 04086
Phone (207) 406-4462

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174763916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAINE ST STE 6",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112071",
            "telephone_number": "207-504-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAINE ST STE 6",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112071",
            "telephone_number": "207-504-7892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Maine St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112029",
            "country_code": "US",
            "telephone_number": "207-504-7892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Maine St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112029",
            "country_code": "US",
            "telephone_number": "207-504-7892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "AMBER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC3952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.