Individual provider Active NPI

Amber Siobhan Pearce, MA, LCMHC

  • Counselor
  • Huntersville, NC
National Provider Identifier
1366630501
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5409 Issued in NC
Practice address
16507 Northcross Dr Ste C
Huntersville, NC 28078-5082
Phone
(704) 396-4287
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5409 NC Primary

Addresses

Primary practice location

16507 Northcross Dr Ste C
Huntersville, NC 28078-5082

Mailing address

16507 Northcross Dr Ste C
Huntersville, NC 28078-5082
Phone (704) 396-4287

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apearce97161@direct.novanthealth.org

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
5409NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Mind and Body Connection PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

14316 Reese Blvd W
#B872
Huntersville, NC 28078

16507 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 396-4287

13420 Reese Blvd W
Huntersville, NC 28078
Phone (704) 433-6644

9911 Rose Commons Dr
#E872
Huntersville, NC 28078

Interoperability endpoints

  • Direct secure messaging: apearce97161@direct.novanthealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1366630501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-396-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-396-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "AMBER",
        "middle_name": "SIOBHAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "5409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apearce97161@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5800 Executive Center Dr",
            "address_2": "Suite 101",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.