Active NPI
Amber K Lynn, LCMHC
- Mental Health Counselor
- Cornelius, NC
National Provider Identifier
1508533423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16889
- Practice address
- 16930 W Catawba Ave Ste 102
Cornelius, NC 28031-5640 - Phone
- (704) 255-5439
- Fax
- (704) 235-1330
- NPI assigned
- Aug 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A16889 | NC | |
| Mental Health Counselor | 101YM0800X | 16889 | NC | Primary |
Addresses
Primary practice location
16930 W Catawba Ave Ste 102
Cornelius, NC 28031-5640
Mailing address
111 Wildiris Dr
Mooresville, NC 28117-3709
Phone (440) 522-8174
Other practice location 1
10224 Hickorywood Hill Ave Ste 205
Huntersville, NC 28078-3474
Phone (704) 896-9405 ext. 3
Other names 1
- Amber K Miller
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
| License | State | Type | Specialty |
|---|---|---|---|
| A16889 | NC | MD | Mental Health Counselor |
| 16889 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Counseling | Mental Health | Current | Accepting new patients |
| Southlake Counseling & Consulting | Past | Accepting new patients | |
| Southlake Center for Self Discovery | Past | Accepting new patients |
Locations
16930 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 201-9197
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Cornelius, NC
- NPI 1235849357
-
- Clinical Social Worker
- Davidson, NC
- NPI 1366656910
-
- Clinical Social Worker
- Davidson, NC
- NPI 1194864975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1508533423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WILDIRIS DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281173709",
"telephone_number": "440-522-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16930 W CATAWBA AVE STE 102",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315640",
"telephone_number": "704-255-5439",
"fax_number": "704-235-1330"
}
],
"practiceLocations": [
{
"address_1": "10224 Hickorywood Hill Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280783474",
"country_code": "US",
"telephone_number": "704-896-9405 x3",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNN",
"first_name": "AMBER",
"middle_name": "K",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A16889",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "MILLER",
"middle_name": "K",
"credential": "LCMHCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.