Amber Stroud, MS, LPC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

119 Mill Rd
Palmyra, WI 53156-9310

Phone

(262) 370-5527

Fax

(262) 495-8689

NPI assigned

Dec 14, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1235504432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N 66TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134060",
            "telephone_number": "414-708-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MILL RD",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "531569310",
            "telephone_number": "262-370-5527",
            "fax_number": "262-495-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "AMBER",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3885-125",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmyra Fire District
• Palmyra-Eagle Area School District
• Elizabeth Susan Reid, APNP
• Colleen A Ryan, PHD
• Shannon Seegers
• Jennifer L Tison
• Kathleen Ann Turck, APNP
• Jenna Vanallen
• Village of Palmyra
• Village Primary Care Providers LLC

• Behavior Analyst in Palmyra, WI
• Providers in Palmyra, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.