Active NPI
Amber Marie LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookhaven, MS
National Provider Identifier
1790698025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AMBER MARIE LLC
- Practice address
- 519 W Monticello St
Brookhaven, MS 39601-3209 - Phone
- (601) 822-2286
- Fax
- (601) 822-2296
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Marie Martin, LPC
- Title
- Owner/Therapist
- Phone
- (601) 822-2286
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
519 W Monticello St
Brookhaven, MS 39601-3209
Mailing address
519 W Monticello St
Brookhaven, MS 39601-3209
Phone (601) 822-2286
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Brookhaven, MS
- NPI 1821491051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790380800000",
"number": "1790698025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 W MONTICELLO ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396013209",
"telephone_number": "601-822-2286",
"fax_number": "601-822-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 W MONTICELLO ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396013209",
"telephone_number": "601-822-2286",
"fax_number": "601-822-2296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBER MARIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "601-822-2286",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.