Individual provider Active NPI

Amber Dawn Mikels, LMT

  • Massage Therapist
  • Beckley, WV
National Provider Identifier
1851088827
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2022-3942 Issued in WV
Practice address
21 Mallard CT
Beckley, WV 25801-3615
Phone
(304) 890-8020
Fax
(681) 207-7029
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2022-3942 WV Primary

Addresses

Primary practice location

21 Mallard CT
Beckley, WV 25801-3615

Mailing address

21 Mallard CT
Beckley, WV 25801-3615
Phone (304) 890-8020

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Jane Direct

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

LicenseStateTypeSpecialty
2022-3942WVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Acupuncture, PLLC Single Specialty CurrentSince Apr 23, 2023 Accepting new patients

Locations

21 Mallard Ct
Beckley, WV 25801
Phone (304) 890-8020

Organizations & group practices 1

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1851088827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-890-8020",
            "fax_number": "681-207-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-890-8020",
            "fax_number": "681-207-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELS",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2022-3942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jane",
            "affiliation": "N",
            "endpointDescription": "Enter notes on Jane software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Mallard Ct",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.