Active NPI
Amber Marie Butler, MSW
- Counselor
- Fort Wayne, IN
National Provider Identifier
1447629068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0430928020
- Practice address
- 2100 Goshen Rd
Fort Wayne, IN 46808-1493 - Phone
- (260) 471-3500
- Fax
- (260) 471-4263
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0430928020 | IN | Primary |
Addresses
Primary practice location
2100 Goshen Rd
Fort Wayne, IN 46808-1493
Mailing address
2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 269-4189
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430928020 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1447629068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 E JEFFERSON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803880",
"telephone_number": "574-269-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 GOSHEN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468081493",
"telephone_number": "260-471-3500",
"fax_number": "260-471-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "0430928020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.