Active NPI
Amber Marie Jackson, LCPC
- Professional Counselor
- Caldwell, ID
National Provider Identifier
1942096987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-4185
- Practice address
- 2908 Hillcrest LN
Caldwell, ID 83605-3025 - Phone
- (208) 740-0568
- NPI assigned
- Apr 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-4185 | ID | Primary |
Addresses
Primary practice location
2908 Hillcrest LN
Caldwell, ID 83605-3025
Mailing address
2908 Hillcrest LN
Caldwell, ID 83605-3025
Phone (208) 740-0568
Other names 1
- Amber Marie Moe
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 |
|---|---|---|---|
| LCPC-4185 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1942096987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 HILLCREST LN",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836053025",
"telephone_number": "208-740-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 HILLCREST LN",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836053025",
"telephone_number": "208-740-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-4185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "MOE",
"middle_name": "MARIE",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.