Active NPI
Lavenia Michele Amburgey, M.A.
- Clinical Psychologist
- Whitesburg, KY
National Provider Identifier
1356412522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 148
- Practice address
- 84 E Main St
Suite a
Whitesburg, KY 41858-7254 - Phone
- (606) 633-0035
- NPI assigned
- Nov 10, 2006
- Last updated
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 148 | KY | Primary |
Addresses
Primary practice location
84 E Main St
Suite a
Whitesburg, KY 41858-7254
Mailing address
PO Box 2
Redfox, KY 41847-0002
Phone (606) 633-0035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120516000741 | KY | Practitioner - Psychologist Billing Independently | 7113180852 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148 | KY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1356412522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "REDFOX",
"state": "KY",
"postal_code": "418470002",
"telephone_number": "606-633-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 E MAIN ST",
"address_2": "SUITE A",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587254",
"telephone_number": "606-633-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBURGEY",
"first_name": "LAVENIA",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesburg, KY
- Misty Dawn Conatser Adams, APRN
- Sonji Nicole Adams
- Stephanie Danielle Adams, OTR/L
- Michael S Addair, CRNA
- Mahmood Alam, MD
- Appalachian Community Care LLC
- Appalachian Heals, Inc.
- Appalachian Regional Healthcare Inc
- Appalachian Regional Healthcare, Inc
- Appalachian Regional Healthcare, Inc. (Whitesburg ARH Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.