Amber Behrouzvaziri, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003409A Issued in IN

Practice address

10255 Commerce Dr Ste 204
Carmel, IN 46032-7433

Phone

(812) 200-6377

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Ellison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 7, 2024 through Mar 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self-Love Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1073377412
  NPD Authorized official

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1245700897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 204",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327433",
            "telephone_number": "812-200-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 204",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327433",
            "telephone_number": "812-200-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHROUZVAZIRI",
        "first_name": "AMBER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ELLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beeson Cosmetic Surgery, LLC
• Beeson Cosmetic Surgery, LLC
• Beginnings Lifestyle LLC
• Leslie Marie Begle, COTA/L
• Katherine Anne Behrens, PT
• Amelia Beimrohr
• James A Beitman, ADDICTION COUNSELOR
• Maryam Bekhit, PT
• Ameya Vinayak Belamkar
• Christopher E Belcher, MD

• Mental Health Counselor in Carmel, IN
• Providers in Carmel, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.