Amber Nicole Egdorf, MA, LADC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4285 Issued in MN

Practice address

245 Ruth St N Ste 101
Saint Paul, MN 55119-4409

Phone

(651) 955-4633

NPI assigned

Jan 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amber Nicole Recker Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wholehearted Healing LLCGroup PAC ID 8123543154, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Wholehearted Healing LLC

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1255934196
  Medicare reassignment Care Compare group NPD
• Resourced and Resilient LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1447114020
  Medicare reassignment
• Omni Mental Health Inc

  • Marriage & Family Therapist
  • Blaine, MN
  • NPI 1891110177

  Addiction (Substance Use Disorder)

  NPD
• Family Support Services Inc.

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1780120378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RUTH ST N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194409",
            "telephone_number": "651-955-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RUTH ST N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194409",
            "telephone_number": "651-955-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGDORF",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "MA, LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "RECKER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dahabo Mohamed Egal
• Hassan Abdirahman Egal
• Julia Ann Egan
• Rita Egan, PHARMD
• Anastasia Egbe
• Ryan James Egeberg, CRNA
• Eli Eggen, PHARMD
• Mary Kathleen Eggink, NP
• Kathryn Eggleston, M.D.
• Augustina O Egwim, ETC

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.

Verify at the official NPI Registry.