Individual provider Active NPI

Amber L Miura, LPC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1306550561
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020320 Issued in CO
Practice address
2255 Sheridan Blvd
Denver, CO 80214
Phone
(720) 575-9889
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.00200320 CO
Professional Counselor 101YP2500X LPC.0020320 CO Primary

Addresses

Primary practice location

2255 Sheridan Blvd
Denver, CO 80214

Mailing address

19917 Victorian Way
Parker, CO 80138-3802
Phone (720) 575-9889

Other practice location 1

6656 Summer Grace St
Colorado Springs, CO 80923-4428
Phone (520) 612-0466

Other practice location 2

9030 Miller Rd
Parker, CO 80138-7236
Phone (303) 840-5139

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.khesedwellness.com/ Other Khesed Wellness A Colorado Nonprofit Corporation

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619002182 CO Practitioner - Mental Health Counselor 5890238752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas County Christian Counseling IncGroup PAC ID 9537500525, 4 clinicians

Practice addresses (Care Compare)

9030 Miller Rd
Parker, CO 80138-7236
Phone (303) 840-5139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.00200320COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Christian Counseling Inc. Professional CurrentSince Jul 3, 2024 Accepting new patients
Douglas County Christian Counseling Inc. Counselor CurrentSince Jul 3, 2024 Accepting new patients
Deer Oaks West LLC CurrentSince Jun 12, 2024 Accepting new patients
Remind Health LLC CurrentSince Jun 19, 2024 Accepting new patients
Khesed Wellness a Colorado Nonprofit Corporation Mental Health Past Accepting new patients

Locations

10300 E Colorado Ave
Aurora, CO 80247
Phone (303) 840-5139

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

9030 Miller Rd
Parker, CO 80138
Phone (303) 840-5139

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1306550561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19917 VICTORIAN WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383802",
            "telephone_number": "720-575-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "720-575-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6656 Summer Grace St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809234428",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9030 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801387236",
            "country_code": "US",
            "telephone_number": "303-840-5139",
            "fax_number": "303-841-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIURA",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.00200320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.khesedwellness.com/",
            "affiliation": "Y",
            "endpointDescription": "Non-profit where therapist is currently contracted",
            "affiliationName": "Khesed Wellness A Colorado Nonprofit Corporation",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "2644 W 32nd Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802113302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.