Active NPI
Amber Marie Carreau Davidson, LMHC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1760998447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15243
- Practice address
- 1600 S Andrews Ave
Fort Lauderdale, FL 33316 - Phone
- (754) 702-9607
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15243 | FL | Primary |
Addresses
Primary practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316
Mailing address
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (754) 702-9607
Other practice location 1
1527 NE 4th Ave
Fort Lauderdale, FL 33304-1035
Phone (954) 835-5741
Other names 1
- Amber Carreau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
284 NW 92ND Ave
Coral Springs, FL 33071-6917
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15243 | FL | MD | Mental Health Counselor |
Organizations & group practices 1
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": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1760998447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "754-702-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "754-702-9607"
}
],
"practiceLocations": [
{
"address_1": "1527 NE 4th Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333041035",
"country_code": "US",
"telephone_number": "954-835-5741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARREAU DAVIDSON",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "CARREAU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.