Active NPI
Ammy Nienaber, LPCC
- Mental Health Counselor
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1500867
- Practice address
- 77 W Elmwood Dr Ste 213
Centerville, OH 45459-4263 - Phone
- (937) 234-7830
- Fax
- (937) 723-8498
- NPI assigned
- Jan 30, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1500867 | OH | Primary |
Addresses
Primary practice location
77 W Elmwood Dr Ste 213
Centerville, OH 45459-4263
Mailing address
77 W Elmwood Dr Ste 213
Centerville, OH 45459-4263
Phone (937) 234-7830
Other practice location 1
5600 Kentshire Dr Ste 101
Kettering, OH 45440-2963
Phone (937) 234-7830
Other practice location 2
5600 Kentshire Dr Ste 101
Kettering, OH 45440
Phone (937) 234-7830
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H130910 | Other | OH | MEDICARE GROUP PTAN |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| 0074861 | Other | OH | MEDICAID-ODADAS |
| 0074946 | Other | OH | MEDICAID-ODMH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
77 W Elmwood Dr
Suite 213
Centerville, OH 45459-4263
Phone (937) 234-7830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500867 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Another Chance Therapy Services LLC | Current | Accepting new patients | |
| Wink of Hope Counseling, LLC | Mental Health | Current | Accepting new patients |
| Access Counseling Services, LLC | Past | Accepting new patients | |
| Access Counseling Services LLC | Mental Health | Past | Accepting new patients |
Locations
77 W Elmwood Dr
Ste 213
Dayton, OH 45459
Phone (937) 234-7830
5600 Kentshire Dr
Ste 101
Dayton, OH 45440
Phone (937) 234-7830
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Kettering, OH
- NPI 1144935685
-
- Clinical Social Worker
- Wichita, KS
- NPI 1568177863
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1073884524
Mental Health
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1245583673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1255878195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W ELMWOOD DR STE 213",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594263",
"telephone_number": "937-234-7830",
"fax_number": "937-723-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W ELMWOOD DR STE 213",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594263",
"telephone_number": "937-234-7830",
"fax_number": "937-723-8498"
}
],
"practiceLocations": [
{
"address_1": "5600 Kentshire Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454402963",
"country_code": "US",
"telephone_number": "937-234-7830",
"fax_number": "937-999-4216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5600 Kentshire Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "45440",
"country_code": "US",
"telephone_number": "937-234-7830",
"fax_number": "937-999-4216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIENABER",
"first_name": "AMMY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1500867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "H130910",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARF CERTIFICATION",
"identifier": "01-0693",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ODADAS",
"identifier": "0074861",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ODMH",
"identifier": "0074946",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.