NPIMap

Organization Active NPI

Amber Rose Therapy and Services, PLLC

  • Clinical Social Worker
  • Rosenberg, TX
National Provider Identifier
1396420089
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMBER ROSE THERAPY AND SERVICES, PLLC
Practice address
3510 Creole Bay LN
Rosenberg, TX 77471-4885
Phone
(580) 215-9672
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Amber Edison, LCSWNPI 1174271217
Title
Owner
Phone
(580) 215-9672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3510 Creole Bay LN
Rosenberg, TX 77471-4885

Mailing address

24301 Brazos Town Crossing
Suite 500, PMB #1107
Rosenberg, TX 77471-4885
Phone (580) 215-9672

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1396420089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 BRAZOS TOWN CROSSING",
            "address_2": "SUITE 500, PMB #1107",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774714885",
            "telephone_number": "580-215-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 CREOLE BAY LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774714885",
            "telephone_number": "580-215-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER ROSE THERAPY AND SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-215-9672",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.