Individual provider Active NPI

Amy Homer, LPCC

  • Professional Counselor
  • Fort Thomas, KY
National Provider Identifier
1316345952
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
165583 Issued in KY
Practice address
20 N Grand Ave Ste 110D
Fort Thomas, KY 41075-4106
Phone
(859) 630-2336
Fax
(513) 828-0250
NPI assigned
Dec 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1100627 OH
Professional Counselor 101YP2500X LPCPCC00222201 KY
Professional Counselor 101YP2500X 165583 KY Primary

Addresses

Primary practice location

20 N Grand Ave Ste 110D
Fort Thomas, KY 41075-4106

Mailing address

187 Pavilion Pkwy # 132
Newport, KY 41071-2891
Phone (859) 630-2336

Other practice location 1

75 Orphanage Rd
Fort Mitchell, KY 41017-3006
Phone (859) 331-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2025 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
165583KYMDProfessional Counselor
LPCPCC00222201KYMDProfessional Counselor
E.1100627OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1316345952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 PAVILION PKWY # 132",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712891",
            "telephone_number": "859-630-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 110D",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-630-2336",
            "fax_number": "513-828-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Orphanage Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Mitchell",
            "state": "KY",
            "postal_code": "410173006",
            "country_code": "US",
            "telephone_number": "859-331-0821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "AMY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1100627",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "LPCPCC00222201",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "165583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.