Amber Lynn Walczyk, MS/LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1901250 Issued in OH

Practice address

4075 Old Western Row Rd
Mason, OH 45040-3104

Phone

(513) 536-4673

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lindner Center of Hope Professional Associates

  • Psychologist
  • Mason, OH
  • NPI 1124425020

  Mental Health

  Medicare reassignment NPD
• The Craig and Frances Lindner Center of Hope

  • Psychiatric Hospital
  • Mason, OH
  • NPI 1023207750
  Medicare reassignment NPD

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1447616669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-293-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 OLD WESTERN ROW RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403104",
            "telephone_number": "513-536-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZYK",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "MS/LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Wade, CNIM
• Julia Alexandra Wagner, OTD, OTR/L
• Marlo Wahle
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Rachael E Waldo, LSW
• Walgreen Co
• Walgreen Co
• Penny G. Walker
• Rebecca Walker, PT

• Professional Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.