Active NPI
Amber N Schrade, PHD, LPCC-S, IMFT-S
- Counselor
- Canton, OH
National Provider Identifier
1285127662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.1500613
- Practice address
- 2421 13TH St NW
Canton, OH 44708-3116 - Phone
- (330) 452-6000
- Fax
- (330) 430-1288
- NPI assigned
- Jun 11, 2018
- Last updated
- Mar 20, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1500613 | OH | Primary |
Addresses
Primary practice location
2421 13TH St NW
Canton, OH 44708-3116
Mailing address
2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251
Phone (330) 238-7286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.1500613 | Other | OH | LICENSE |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500613 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 59 Grafton LLC | Counselor | Current | Accepting new patients |
| Jen Yensel LLC | Past | Accepting new patients | |
| Crisis Intervention and Recovery Center, Inc. | Past | Accepting new patients | |
| Coleman Professional Services, Inc. | Past | Accepting new patients |
Locations
2101 Front St
Ste 215
Cuyahoga Falls, OH 44221
Phone (330) 238-7286
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Kent, OH
- NPI 1982637633
-
- Voluntary or Charitable Agency
- Canton, OH
- NPI 1831162817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1285127662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 FRONT ST STE 215",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213251",
"telephone_number": "330-238-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 13TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447083116",
"telephone_number": "330-452-6000",
"fax_number": "330-430-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADE",
"first_name": "AMBER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHD, LPCC-S, IMFT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1500613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C.1500613",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.