Amy Ham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

890-10-15-16-361 Issued in ND

Practice address

368 E. Main St Ste 1
#1328
New Town, ND 58763-1328

Phone

(701) 751-1545

Fax

(701) 751-1365

NPI assigned

Oct 17, 2016

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Aurora Mental Health, PLLC

  • Mental Health Counselor
  • New Town, ND
  • NPI 1114516234
  NPD Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1881145779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587631328",
            "telephone_number": "701-751-1545",
            "fax_number": "701-751-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E. MAIN ST STE 1",
            "address_2": "#1328",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587631328",
            "telephone_number": "701-751-1545",
            "fax_number": "701-751-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4719 Shelburne St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585035677",
            "country_code": "US",
            "telephone_number": "701-426-8154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8410 39th St. NW",
            "address_purpose": "LOCATION",
            "city": "New Town",
            "state": "ND",
            "postal_code": "587635876",
            "country_code": "US",
            "telephone_number": "701-751-1545",
            "fax_number": "701-751-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "890-10-15-16A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "890-10-15-16-361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Felix Gaido, MD
• Eva Garreau
• Sharlene Gjermundson, RN
• Kyonia Hale
• Sunny Hall, RN
• Celeste Hart, RD
• Justin Hart, LRD
• Julie Haubenschild, RN
• Ruth Heinert, REGISTERED NURSE
• Carolyn J. Henderson, L.I.C.S.W.

• Mental Health Counselor in New Town, ND
• Providers in New Town, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.