Individual provider Active NPI

Amber Dawn Lynch, LPC

  • Counselor
  • Poteau, OK
National Provider Identifier
1689979395
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7514 Issued in OK
Practice address
320 Dewey Ave
Poteau, OK 74953-4212
Phone
(918) 647-4196
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7514 OK Primary

Addresses

Primary practice location

320 Dewey Ave
Poteau, OK 74953-4212

Mailing address

123 E Avenue C
Heavener, OK 74937-2603
Phone (918) 658-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240216003806 OK Practitioner - Mental Health Counselor 2961846910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7514OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Counseling, Inc Mental Health CurrentSince Jan 23, 2024 Accepting new patients
A Plus Care Program LLC Counselor PastSince Jan 23, 2024 Accepting new patients

Locations

123 E Avenue C
Heavener, OK 74937
Phone (918) 653-2543

309 Rogers Ave
Poteau, OK 74953
Phone (918) 647-5395

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1689979395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E AVENUE C",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372603",
            "telephone_number": "918-658-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534212",
            "telephone_number": "918-647-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.