Amber Goertz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71456 Issued in TX

Practice address

1604 Industry Dr Ste 108C
Bastrop, TX 78602-4603

Phone

(737) 251-5707

NPI assigned

May 24, 2017

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amber Davis Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restorative Mental Health PLLCGroup PAC ID 6901258284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restorative Mental Health PLLC

  dba Family Recovery Essentials

  • Mental Health Counselor
  • Bastrop, TX
  • NPI 1992429740
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1417485210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 FM 973 STE B",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY DR STE 108C",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024603",
            "telephone_number": "737-251-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7004 Bee Caves Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465004",
            "country_code": "US",
            "telephone_number": "512-306-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERTZ",
        "first_name": "AMBER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12565",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avinash Ghimire, MD
• Amanda Christianne Gibson, DC
• Kelly Marie Gilleland, LPC
• Gobbel Counseling & Adoption Services
• Robyn Gobbel, LCSW
• Herbert R Goldsmith, LPC-S
• Christopher Michael Gongaware
• Juan Manuel Gonzalez, M.D.
• Yaneli Gonzalez
• Adam K Goodwin, D.M.D.

• Professional Counselor in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.