Individual provider Active NPI

Amber Renee Henrickson, LCSW

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1932638509
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-39935 Issued in ID
Practice address
231 N Third Ave Ste 206
Sandpoint, ID 83864-1418
Phone
(208) 290-6604
Fax
(208) 216-8055
NPI assigned
Jun 7, 2017
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 36787 ID
Mental Health Counselor 101YM0800X 39935 ID
Clinical Social Worker 1041C0700X LCSW-39935 ID Primary

Addresses

Primary practice location

231 N Third Ave Ste 206
Sandpoint, ID 83864-1418

Mailing address

PO Box 271
Sagle, ID 83860-0271
Phone (208) 290-6604

Other practice location 1

608 S Division Ave
Sandpoint, ID 83864-1749
Phone (208) 265-5049

Other practice location 2

1717 Ontario St
Sandpoint, ID 83864-9329
Phone (208) 265-6798

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

LicenseStateTypeSpecialty
36787IDMDMental Health Counselor
39935IDMDMental Health Counselor
LCSW-39935IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Children's Mental Health, PLLC. Clinical CurrentSince Sep 1, 2020 Accepting new patients
Wholehearted Journey Counseling LLC Clinical CurrentSince Nov 22, 2020 Accepting new patients

Locations

1717 Ontario St
Sandpoint, ID 83864
Phone (208) 265-6798

801 Pine St
Ste A
Sandpoint, ID 83864
Phone (208) 255-6931

Organizations & group practices 2

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1932638509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838600271",
            "telephone_number": "208-290-6604",
            "fax_number": "208-216-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N THIRD AVE STE 206",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641418",
            "telephone_number": "208-290-6604",
            "fax_number": "208-216-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 S Division Ave",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641749",
            "country_code": "US",
            "telephone_number": "208-265-5049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Ontario St",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838649329",
            "country_code": "US",
            "telephone_number": "208-265-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICKSON",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "36787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "39935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.