Individual provider Active NPI

Amber Smith

  • Professional Counselor
  • Saint Marys, OH
National Provider Identifier
1528395001
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0900136 Issued in OH
Practice address
150 E Spring St Ste B
Saint Marys, OH 45885-2310
Phone
(419) 954-0102
Fax
(419) 954-0138
NPI assigned
Nov 4, 2009
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0900136 OH Primary

Addresses

Primary practice location

150 E Spring St Ste B
Saint Marys, OH 45885-2310

Mailing address

150 E Spring St Ste B
Saint Marys, OH 45885-2310
Phone (419) 954-0102

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251229001567 OH Practitioner - Mental Health Counselor 0143716282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 E Market St
Celina, OH 45822-1736

401 E Market St
Celina, OH 45822-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.0900136OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consultation, LLC CurrentSince Jan 5, 2026 Accepting new patients
Project Wellness, LLC Professional CurrentSince Aug 25, 2024 Accepting new patients

Locations

112 N Main St
Celina, OH 45822
Phone (419) 584-5123

401 E Market St
Celina, OH 45822
Phone (419) 305-7214

150 E Spring St
Ste B
Saint Marys, OH 45885
Phone (419) 954-0102

153 E Spring St
Saint Marys, OH 45885
Phone (419) 394-1402

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1528395001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SPRING ST STE B",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852310",
            "telephone_number": "419-954-0102",
            "fax_number": "419-954-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SPRING ST STE B",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852310",
            "telephone_number": "419-954-0102",
            "fax_number": "419-954-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0900136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.