Active NPI
Amber Dawn Mikels, LMT
- Massage Therapist
- Beckley, WV
National Provider Identifier
1851088827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2022-3942
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-3942 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Point Acupuncture, PLLC | Single Specialty | Current | 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.