Regina Maria Ambs, MA, LPC, NCC
Individual provider Active NPI Counselor · Otsego, MI
NPI 1821396243 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1821396243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401010492 (MI)
- Practice address
- 1387 E M 89
Otsego, MI 49078-9301 - Phone
- (269) 692-2100
- Fax
- (269) 692-2101
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010492 | MI | MD | Counselor |
| 264767 | MI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients | |
| Comprehensive Psychological and Assessment Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010492 | MI | |
| School Counselor | 101YS0200X | 264767 | MI | |
| Counselor | 101Y00000X | 6401010492 | MI | Yes |
Addresses
Primary practice location
1387 E M 89
Otsego, MI 49078-9301
Mailing address
868 15TH St
Otsego, MI 49078-9724
Phone (269) 692-3182
Other providers in Otsego, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.