Individual provider Active NPI

Amber Kingry, LPC

  • Professional Counselor
  • Clarkesville, GA
National Provider Identifier
1306537162
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013665 Issued in GA
Practice address
185 Walls Complex Cir
Clarkesville, GA 30523-6223
Phone
(706) 460-3113
NPI assigned
May 15, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013665 GA Primary

Addresses

Primary practice location

185 Walls Complex Cir
Clarkesville, GA 30523-6223

Mailing address

PO Box 924
Clarkesville, GA 30523-0016
Phone (770) 906-0606

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

LicenseStateTypeSpecialty
LPC013665GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones 533 LLC CurrentSince May 21, 2023 Accepting new patients

Locations

185 Walls Complex Cir
Clarkesville, GA 30523
Phone (706) 460-3113

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, 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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1306537162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305230016",
            "telephone_number": "770-906-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WALLS COMPLEX CIR",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305236223",
            "telephone_number": "706-460-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGRY",
        "first_name": "AMBER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.