Individual provider Active NPI

Amber K Lynn, LCMHC

  • Mental Health Counselor
  • Cornelius, NC
National Provider Identifier
1508533423
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16889 Issued in NC
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

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
A16889NCMDMental Health Counselor
16889NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Counseling Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Southlake Counseling & Consulting PastSince Aug 1, 2021 Accepting new patients
Southlake Center for Self Discovery PastSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.