Active NPI
Amy Bieber, QMHS, CDCA
- Professional Counselor
- Toledo, OH
National Provider Identifier
1912564501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801 - Phone
- (419) 517-6564
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.173632 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Community/Behavioral Health Agency | 251S00000X | CDCA.170329 | OH | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801
Mailing address
7417 Clark Rd
Ottawa Lake, MI 49267-9702
Phone (419) 902-8678
Other practice location 1
1425 Starr Ave
Toledo, OH 43605
Phone (419) 693-0631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0349658 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.173632 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.170329 | OH | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Ohio, Inc | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Perrysburg, OH
- NPI 1144082322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1912564501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7417 CLARK RD",
"city": "OTTAWA LAKE",
"state": "MI",
"postal_code": "492679702",
"telephone_number": "419-902-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4159 N HOLLAND SYLVANIA RD STE 205",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234801",
"telephone_number": "419-517-6564"
}
],
"practiceLocations": [
{
"address_1": "1425 Starr Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "43605",
"country_code": "US",
"telephone_number": "419-693-0631",
"fax_number": "419-936-7606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIEBER",
"first_name": "AMY",
"credential": "QMHS, CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.173632",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "CDCA.170329",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349658",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.