Active NPI
Amy Powell Jamieson, MTS, LPC
- Professional Counselor
- Matthews, NC
National Provider Identifier
1255487161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3971
- Practice address
- 1238 Mann Dr
Matthews, NC 28105-5539 - Phone
- (704) 552-0116
- Fax
- (704) 552-7550
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3971 | NC | Primary |
Addresses
Primary practice location
1238 Mann Dr
Matthews, NC 28105-5539
Mailing address
PO Box 1798
Matthews, NC 28106-1798
Phone (704) 771-1714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102269 | Medicaid | NC | |
| 130V9 | Other | NC | BLUE CROSS BLUE SHIELD NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3971 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1255487161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1798",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281061798",
"telephone_number": "704-771-1714",
"fax_number": "704-771-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 MANN DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055539",
"telephone_number": "704-552-0116",
"fax_number": "704-552-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIESON",
"first_name": "AMY",
"middle_name": "POWELL",
"name_prefix": "Mrs.",
"credential": "MTS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102269",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "130V9",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.