Individual provider Active NPI

Amber Marie Sheets

  • Mental Health Counselor
  • Mansfield, OH
National Provider Identifier
1821653874
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1901630-TRNE Issued in OH
Practice address
222 Marion Ave
Mansfield, OH 44903-2138
Phone
(567) 560-3582
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1901630-TRNE OH Primary

Addresses

Primary practice location

222 Marion Ave
Mansfield, OH 44903-2138

Mailing address

222 Marion Ave
Mansfield, OH 44903-2138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240415001259 OH Practitioner - Mental Health Counselor 1759720469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901630-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling & Psychiatric Services Mental Health CurrentSince Mar 10, 2024 Accepting new patients
Family Life Counseling & Psychiatric Services CurrentSince Mar 10, 2024 Accepting new patients

Locations

6 Public Sq
Galion, OH 44833
Phone (567) 560-3583

151 Marion Ave
Mansfield, OH 44903
Phone (419) 774-9969

222 Marion Ave
Mansfield, OH 44903
Phone (419) 526-1964

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1821653874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032138",
            "telephone_number": "567-560-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901630-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.