Individual provider Active NPI

Amber Kay Swanson, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Cloud, MN
National Provider Identifier
1710481262
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
402262 Issued in MN
Practice address
713 Anderson Ave
Saint Cloud, MN 56303-2048
Phone
(320) 229-3760
Fax
(320) 229-3763
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302262 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 402262 MN Primary

Addresses

Primary practice location

713 Anderson Ave
Saint Cloud, MN 56303-2048

Mailing address

713 Anderson Ave
Saint Cloud, MN 56303-2048
Phone (320) 229-3760

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

State licenses

LicenseStateTypeSpecialty
302262MNMDAddiction (Substance Use Disorder) Counselor
402262MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1710481262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ANDERSON AVE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032048",
            "telephone_number": "320-229-3760",
            "fax_number": "320-229-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 ANDERSON AVE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032048",
            "telephone_number": "320-229-3760",
            "fax_number": "320-229-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "AMBER",
        "middle_name": "KAY",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302262",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "402262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.