Amberly D Pritchard, LPC, NCC
Individual provider Active NPI Counselor · Caruthersville, MO
NPI 1225445653 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1225445653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2018026551 (MO)
- Practice address
- 109 E 5TH St
Caruthersville, MO 63830-1417 - Phone
- (573) 359-9803
- Fax
- (573) 359-0990
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- University of Alabama School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Missouri Health Network
Practice addresses (Care Compare)
310 US Hwy 61
New Madrid, MO 63869-9753
Phone (573) 688-2165
500 Russell St
Kennett, MO 63857-2102
Phone (573) 717-1332
655 US Hwy 61
New Madrid, MO 63869-1101
Phone (573) 545-4200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213001874 | MO | Practitioner - Mental Health Counselor | 0345658837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018026551 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Health Network | Current | Accepting new patients | |
| Southeast Missouri Health Network | Current |
Accepting new patients | |
| Southeast Missouri Health Network | Current |
Accepting new patients | |
| Family Counseling Center, Inc. | Past | Accepting new patients |
Locations
6738 State Highway 77
Benton, MO 63736
Phone (573) 313-2500
741 S Walnut St
Bernie, MO 63822
Phone (573) 293-6836
109 E 5th St
Caruthersville, MO 63830
Phone (573) 359-9803
835 W Murray Ln
Sikeston, MO 63801
Phone (573) 472-8808
200 Southland Dr
Sikeston, MO 63801
Phone (573) 472-1770
200 Pine St
Sikeston, MO 63801
Phone (573) 313-2500
Interoperability endpoints
- amberly.pritchard.1@14764.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2018026551 | MO | Yes |
Addresses
Primary practice location
109 E 5TH St
Caruthersville, MO 63830-1417
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Phone (573) 313-2500
Other providers in Caruthersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.