Individual provider Active NPI

Amber Kliewer, MA

  • Mental Health Counselor
  • University Place, WA
National Provider Identifier
1558815944
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60970164 Issued in WA
Practice address
2607 Bridgeport Way W Ste 2F
University Place, WA 98466-4725
Phone
(253) 240-7155
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60970164 WA Primary

Addresses

Primary practice location

2607 Bridgeport Way W Ste 2F
University Place, WA 98466-4725

Mailing address

2607 Bridgeport Way W Ste 2F
University Place, WA 98466-4725
Phone (253) 240-7155

Other practice location 1

5224 Olympic Dr Ste 109
Gig Harbor, WA 98335-1792
Phone (253) 240-7155

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60970164WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1558815944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-240-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 2F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-240-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 Olympic Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351792",
            "country_code": "US",
            "telephone_number": "253-240-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "AMBER",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60970164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.