Amberly Nichols, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMBERLY NICHOLS, LCSW, LLC

Practice address

311 W High St
Elkhart, IN 46516-2827

Phone

(574) 262-3597

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Amberly NicholsNPI 1508037755

Title

Owner/Therapist

Phone

(574) 215-8313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amberly Nichols, LCSW, LLC Doing business as

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amberly E Nichols, MSW

  • Counselor
  • Mishawaka, IN
  • NPI 1508037755
  NPD Authorized official
• Carmen June Burlingame, MSW

  • Clinical Social Worker
  • Elkhart, IN
  • NPI 1730713314
  NPD
• Monique Jamesen, MS, NCC, LMHC

  • Mental Health Counselor
  • Mishawaka, IN
  • NPI 1407543051
  NPD
• Anne Kobold

  • Social Worker
  • Elkhart, IN
  • NPI 1295191682
  NPD
• Sheila Christine Miller, LMHCA

  • Counselor
  • Elkhart, IN
  • NPI 1912505975
  NPD
• Carol Ryan

  • Addiction (Substance Use Disorder) Counselor
  • Goshen, IN
  • NPI 1740727759
  NPD
• Angela Law, LMHC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1154735397
  NPD (past)
• Anthony James Younkin, M.ED., LMHCA

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1639015985
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1649863754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 NORTHVIEW DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146748",
            "telephone_number": "574-215-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W HIGH ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465162827",
            "telephone_number": "574-262-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3127 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465146748",
            "country_code": "US",
            "telephone_number": "574-215-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBERLY NICHOLS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "AMBERLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "574-215-8313"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030941",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amberly Nichols, LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amberly Nichols, LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Alonzo
• Wausan Alsalman
• Brandon Alt
• Dawn Alvarado
• Melissa Alvarez, MSW
• American Current Care P.a .
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• American Oncology Partners, P.a.
• Ancillary Medical Consultants, LLC
• Carter James Andersen, DPM

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.