Amber Pone Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20877 Issued in MN

Legal business name

AMBER PONE COUNSELING

Practice address

1409 Willow St Ste 400
Minneapolis, MN 55403-3251

Phone

(512) 363-6365

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Amber Johnson Pone, LICSW

Title

Clinical Social Worker, Owner

Phone

(512) 363-6365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1780198309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 HALF MOON DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274811",
            "telephone_number": "512-363-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "512-363-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER PONE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "PONE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER, OWNER",
        "authorized_official_telephone_number": "512-363-6365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Kevin Amateau, MD, PHD
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• Matthew Brandon Ambrose, M.D.
• Mariah Ambrus
• Jennifer Heiser Ambur, M.D.
• Sumanth Ambur, MD

• All providers in Minneapolis, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.