Individual provider Active NPI

Amber Martin, MS, LPC

  • Professional Counselor
  • Parma, OH
National Provider Identifier
1902491103
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204540 Issued in OH
Practice address
1440 Rockside Rd Ste 315
Parma, OH 44134-2749
Phone
(216) 200-6529
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2204540 OH
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X C.2204540 OH Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 315
Parma, OH 44134-2749

Mailing address

1440 Rockside Rd Ste 315
Parma, OH 44134-2749
Phone (216) 200-6529

Other practice location 1

4434 Sheraton Dr
Parma, OH 44134-2842
Phone (216) 906-2085

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C.2204540OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Galancing, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

1440 Rockside Rd
Ste 315
Parma, OH 44134
Phone (216) 200-6529

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1902491103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 315",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-200-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 315",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-200-6529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4434 Sheraton Dr",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441342842",
            "country_code": "US",
            "telephone_number": "216-906-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMBER",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2204540",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.