Active NPI
Amber N Berry, M.S., P.C.C.
- Professional Counselor
- Huber Heights, OH
National Provider Identifier
1265713713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0701138-SUPV
- Practice address
- 8501 Old Troy Pike
Huber Heights, OH 45424-1054 - Phone
- (937) 641-5772
- Fax
- (937) 641-4668
- NPI assigned
- Aug 29, 2011
- 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 | E.0701138-SUPV | OH | Primary |
Addresses
Primary practice location
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Mailing address
PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-3555
Other practice location 1
3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone (937) 641-3401
Other practice location 2
860 Valley St.
Dayton, OH 45404-2066
Phone (937) 641-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0299490 | Medicaid | OH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0701138-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Hospital | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Dayton, OH
- NPI 1952480030
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1265713713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933421",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-3555",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 OLD TROY PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241054",
"telephone_number": "937-641-5772",
"fax_number": "937-641-4668"
}
],
"practiceLocations": [
{
"address_1": "3300 W Tech Blvd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453424865",
"country_code": "US",
"telephone_number": "937-641-3401",
"fax_number": "937-641-3046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "860 Valley St.",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454042066",
"country_code": "US",
"telephone_number": "937-641-3060",
"fax_number": "937-641-3285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "AMBER",
"middle_name": "N",
"credential": "M.S., P.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0701138-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0299490",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.