Individual provider Active NPI

Amber Worman

  • Counselor
  • Louisville, KY
National Provider Identifier
1740651413
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
244274 Issued in KY
Practice address
214 Breckenridge LN Ste 205
Louisville, KY 40207-3879
Phone
(502) 536-7187
NPI assigned
Oct 7, 2015
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 244274 KY Primary

Addresses

Primary practice location

214 Breckenridge LN Ste 205
Louisville, KY 40207-3879

Mailing address

214 Breckenridge LN Ste 205
Louisville, KY 40207-3879
Phone (502) 536-7187

Other practice location 1

2109 Allison Ln
Jeffersonville, IN 47130-5814
Phone (812) 746-3210

Other practice location 2

4835 Poplar Level Rd Ste 110
Louisville, KY 40213-2906
Phone (502) 536-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240124001469 KY Practitioner - Mental Health Counselor 1052764263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Counseling Center LLCGroup PAC ID 7618221300, 57 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1415
Phone (855) 591-0092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amber D's LLC Counselor Current Accepting new patients
Kentucky Counseling Center, LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients
KCC Recovery, LLC Dba Bluegrass Recovery, LLC Past Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

214 Breckenridge Ln
Ste 205
Louisville, KY 40207
Phone (502) 536-7187

4835 Poplar Level Rd
Ste 110
Louisville, KY 40213
Phone (502) 443-5273

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1740651413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879",
            "telephone_number": "502-536-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879",
            "telephone_number": "502-536-7187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Allison Ln",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471305814",
            "country_code": "US",
            "telephone_number": "812-746-3210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4835 Poplar Level Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402132906",
            "country_code": "US",
            "telephone_number": "502-536-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORMAN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "244274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.