Amber Gump, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1126 Issued in WV

Practice address

202 S Randolph Ave
Elkins, WV 26241-3739

Phone

(304) 637-1002

NPI assigned

Nov 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• St. George Medical Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • Parsons, WV
  • NPI 1497853600
  Medicare reassignment NPD
• Life Reflections LLC

  • Mental Health Counselor
  • Elkins, WV
  • NPI 1265516884
  NPD (past)

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1649712316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WILTON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413260",
            "telephone_number": "304-614-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413739",
            "telephone_number": "304-637-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMP",
        "first_name": "AMBER",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie A Grow
• Brittany Guinn
• Jasmine Brooke Gum
• Tawnya Gum
• Denise Gumm
• Shawn Thomas Guthrie
• Samantha Hackney
• Hannah Michele Haddix, SLP
• Melissa Lee Haddix
• Patricia Kay Haddix, MA, LPC

• Psychologist in Elkins, WV
• Providers in Elkins, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.