Amber Millicent Diamond Green, MA, LCMHC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13027 Issued in NC

Practice address

110 Iowa LN Ste 204
Cary, NC 27511-2400

Phone

(919) 587-8018

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Millicent Diamond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Mathews Counseling PLLC

  • Marriage & Family Therapist
  • Cary, NC
  • NPI 1588119028

  Professional

  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1659898625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N LAKE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281128423",
            "telephone_number": "217-891-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IOWA LN STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112400",
            "telephone_number": "919-587-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMBER",
        "middle_name": "MILLICENT DIAMOND",
        "credential": "MA, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DIAMOND",
            "middle_name": "MILLICENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latisha Darcel Gray, LMFTA
• Logan Vincent Gray, BEHAVIOR TECHNICIAN
• Shirley E Gray, RBT
• Stasia Marie Gray, PA-C
• Teresa A. Greco, LCSW
• Daemion Jeremiah Green
• Hermeisha Renee Green, LCSW
• Keaira Green
• Kim Green
• Madison Green

• Professional Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.