Active NPI
Amber Utter, MA, LPC, NCC
- Professional Counselor
- Lees Summit, MO
National Provider Identifier
1467909796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2016040514
- Practice address
- 656 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4300 - Phone
- (816) 892-0575
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2016040514 | MO | Primary |
Addresses
Primary practice location
656 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4300
Mailing address
9220 Cyclone School Rd
Lees Summit, MO 64064-2611
Phone (816) 892-0575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016040514 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Utter Counseling LLC | Professional | Current | Accepting new patients |
Locations
656 SE Bayberry Ln
Ste 105
Lees Summit, MO 64063
Phone (816) 524-5572
Organizations & group practices 1
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": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1467909796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 CYCLONE SCHOOL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642611",
"telephone_number": "816-892-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 SE BAYBERRY LN STE 105",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634300",
"telephone_number": "816-892-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTTER",
"first_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2016040514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.