Individual provider Active NPI

Amber Elizabeth Bachman

  • Addiction (Substance Use Disorder) Counselor
  • Mount Orab, OH
National Provider Identifier
1225635246
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
149 Mercy Blvd
Mount Orab, OH 45154-0296
Phone
(740) 727-2000
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Center, Inc. Addiction (Substance Use Disorder) CurrentSince Dec 12, 2021 Accepting new patients
Phoenix Center, Inc. Single Specialty PastSince Dec 12, 2021 Accepting new patients

Locations

149 Mercy Blvd
Mount Orab, OH 45154
Phone (740) 727-2000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

149 Mercy Blvd
Mount Orab, OH 45154-0296

Mailing address

149 Mercy Blvd
Mount Orab, OH 45154-0296
Phone (740) 727-2000

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address abachman@thephoenixcenters.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2022.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1225635246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MERCY BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451540296",
            "telephone_number": "740-727-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MERCY BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451540296",
            "telephone_number": "740-727-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abachman@thephoenixcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "149 Mercy Blvd",
            "city": "Mount Orab",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451540296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.