Individual provider Active NPI

Amber Lynn Brownell

  • Mental Health Counselor
  • Fairbanks, AK
National Provider Identifier
1851950406
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3101 Lathrop St
Fairbanks, AK 99701-7426
Phone
(907) 459-4790
NPI assigned
Jun 7, 2019
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 NU Primary

Addresses

Primary practice location

3101 Lathrop St
Fairbanks, AK 99701-7426

Mailing address

3101 Lathrop St
Fairbanks, AK 99701-7426
Phone (907) 459-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20220926002428 AK Practitioner - Clinical Social Worker 3375929516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Works Caring CenterGroup PAC ID 0648706358, 3 clinicians

Practice addresses (Care Compare)

3401 Peger Rd
Suite C
Fairbanks, AK 99709-5488
Phone (907) 374-7076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Community Mental Health Services, Inc CurrentSince Aug 1, 2022 Accepting new patients
Greater Works Caring Center CurrentSince Oct 31, 2024 Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Aug 1, 2022 Accepting new patients
Anchorage Community Mental Health Services Inc. Current Accepting new patients

Locations

4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954

4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440

4120 Laurel St
Ste 200
Anchorage, AK 99508

1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1851950406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LATHROP ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017426",
            "telephone_number": "907-459-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATHROP ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017426",
            "telephone_number": "907-459-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNELL",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.