Individual provider Active NPI

Amy Lynn Caryl

  • Mental Health Counselor
  • Port Huron, MI
National Provider Identifier
1437912508
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451023997 Issued in MI
Practice address
2215 Court St
Port Huron, MI 48060-4937
Phone
(810) 987-1311
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451023997 MI Primary

Addresses

Primary practice location

2215 Court St
Port Huron, MI 48060-4937

Mailing address

2215 Court St
Port Huron, MI 48060-4937
Phone (810) 434-5903

Other practice location 1

351 W Kempf Ct
Capac, MI 48014-3018
Phone (810) 987-1311

Other practice location 2

5200 Taft Rd
Clay, MI 48001-4701
Phone (810) 966-4168

Other names 1

  • Amy Lynn Earley Former name

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

State licenses

LicenseStateTypeSpecialty
6451023997MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of St Clair CurrentSince Mar 24, 2025 Accepting new patients
Downriver Community Services Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

5200 Taft Rd
Clay, MI 48001
Phone (810) 794-4911

2215 Court St
Port Huron, MI 48060
Phone (810) 987-1311

Organizations & group practices 2

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1437912508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 COURT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604937",
            "telephone_number": "810-434-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 COURT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604937",
            "telephone_number": "810-987-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Kempf Ct",
            "address_purpose": "LOCATION",
            "city": "Capac",
            "state": "MI",
            "postal_code": "480143018",
            "country_code": "US",
            "telephone_number": "810-987-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Clay",
            "state": "MI",
            "postal_code": "480014701",
            "country_code": "US",
            "telephone_number": "810-966-4168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARYL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "EARLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.