Amber Star Hall
Individual provider Active NPI Mental Health Counselor · Lloyd Harbor, NY
NPI 1881189355 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1881189355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5 Coon Hollow Rd
Lloyd Harbor, NY 11743-9723 - Phone
- (631) 885-8990
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618001337 | NY | Practitioner - Mental Health Counselor | 1951812734 | Reassigns benefits to 2 organizations |
| I20260225000933 | CT | Practitioner - Mental Health Counselor | 1951812734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016157 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body and Soul Counseling LLC | Mental Health | Current |
Accepting new patients |
| 365 Mental Health Counseling PLLC | Mental Health | Current |
Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
480 Broadway
Ste 330
Saratoga Springs, NY 12866
Phone (518) 469-9887
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
5 Coon Hollow Rd
Lloyd Harbor, NY 11743-9723
Mailing address
125 S Greenfield Rd
Greenfield Center, NY 12833-1314
Phone (617) 845-7018
Other practice location 1
19 Valentine Ave
Huntington, NY 11743-4952
Phone (631) 885-8990
Other providers in Lloyd Harbor, NY
- Danielle Marie Fischetti
- Lynn Karen Fuschillo
- George Matthew Gates
- Tess Morgan Goldfarb
- Robert Martin Gottlieb
- Anneliese Horan
- Huntington Management Group
- Jacqueline Iversen
- Judith Ann Judge-Avallone
- Caitlin Kelly
All providers in Lloyd Harbor, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.