Amber Lynn Slater

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

216 E Biddle St
Jackson, MI 49203-1800

Phone

(517) 783-3434

Fax

(517) 782-6446

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Segue Inc

  • Adult Mental Health Clinic/Center
  • Jackson, MI
  • NPI 1174634315
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396451209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6159",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492046159",
            "telephone_number": "517-783-3434",
            "fax_number": "517-782-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E BIDDLE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031800",
            "telephone_number": "517-783-3434",
            "fax_number": "517-782-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.segueinc.org",
            "affiliation": "N",
            "address_1": "216 E Biddle St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492031800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Jane Skiba-Dust, RN
• Stephanie Skonos, RD
• Amber Slaby, LLMSW
• Sarah Renee Slagter
• Wassem Mohamad Slaibe, RPH
• Rhonda J Sledge, CRNA
• Frederic B. Slete, D.D.S.
• Eric Slisher, LPC
• Aleesha Smak, WHNP-BC
• Edward Adam Smak, RN

• Community/Behavioral Health Agency in Jackson, MI
• Providers in Jackson, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.