Active NPI
Amber Lynn Kemper
- Social Worker
- Covina, CA
National Provider Identifier
1801303045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW106320
- Practice address
- 1126 N Grand Ave
Covina, CA 91724-1551 - Phone
- (626) 967-1667
- NPI assigned
- Jan 9, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW106320 | CA | |
| Social Worker | 104100000X | ASW106320 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW106320 | CA | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1126 N Grand Ave
Covina, CA 91724-1551
Mailing address
1126 N Grand Ave
Covina, CA 91724-1551
Phone (626) 967-1667
Other practice location 1
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931
Other practice location 2
2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374
Phone (855) 223-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW106320 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1801303045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917241551",
"telephone_number": "626-967-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917241551",
"telephone_number": "626-967-1667"
}
],
"practiceLocations": [
{
"address_1": "155 N Occidental Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264641",
"country_code": "US",
"telephone_number": "213-381-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2928 Jefferson St Ste 100",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920082374",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEMPER",
"first_name": "AMBER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW106320",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW106320",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW106320",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.