Individual provider Active NPI

Amber Maxwell

  • Professional Counselor
  • Royston, GA
National Provider Identifier
1861369241
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016086 Issued in GA
Practice address
63 Spring Station Rd
Royston, GA 30662-1990
Phone
(706) 246-0733
NPI assigned
Oct 21, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC016086 GA Primary

Addresses

Primary practice location

63 Spring Station Rd
Royston, GA 30662-1990

Mailing address

63 Spring Station Rd
Royston, GA 30662-1990
Phone (706) 246-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20251105003025 GA Practitioner - Mental Health Counselor 2668962978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

63 Spring Station Rd
Royston, GA 30662-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC016086GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsprings Counseling Services LLC CurrentSince Oct 21, 2025 Accepting new patients
Willow Hearth Counseling LLC Professional Current Accepting new patients
Harold G. Rhoades PH.D. P.C. PastSince Oct 21, 2025 Accepting new patients

Locations

63 Spring Station Rd
Royston, GA 30662
Phone (706) 246-0733

Organizations & group practices 3

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1861369241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SPRING STATION RD",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306621990",
            "telephone_number": "706-246-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SPRING STATION RD",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306621990",
            "telephone_number": "706-246-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

Verify at the official NPI Registry.