Individual provider Active NPI

Amber Leighann Kohlmeyer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1265270219
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35924 Issued in TN
Practice address
222 E Broadway Blvd
Jefferson City, TN 37760-2811
Phone
(865) 999-0601
NPI assigned
Jul 16, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35924 TN Primary

Addresses

Primary practice location

222 E Broadway Blvd
Jefferson City, TN 37760-2811

Mailing address

222 E Broadway Blvd.
Jefferson, TN 37760-4610
Phone (865) 999-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609003575 TN Practitioner - Nurse Practitioner 6608386610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35924TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Solutions, LLC CurrentSince Mar 22, 2025 Accepting new patients
Advanced Therapy Solutions PastSince Mar 22, 2025 Accepting new patients

Locations

3000 Business Park Cir
Ste 900
Goodlettsville, TN 37072
Phone (615) 292-3661

222 E Broadway Blvd
Ste 205
Jefferson City, TN 37760
Phone (865) 999-0601

317 18th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 292-3661

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1265270219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E BROADWAY BLVD.",
            "city": "JEFFERSON",
            "state": "TN",
            "postal_code": "377604610",
            "telephone_number": "865-999-0601",
            "fax_number": "615-292-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602811",
            "telephone_number": "865-999-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLMEYER",
        "first_name": "AMBER",
        "middle_name": "LEIGHANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.