Stephen Kwame Amabley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1306 Cooper St Apt 35
Beverly, NJ 08010-3007

Phone

(240) 755-3055

Fax

(609) 479-9986

NPI assigned

Dec 15, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1992249593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 COOPER ST APT 35",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "080103007",
            "telephone_number": "240-755-3055",
            "fax_number": "609-479-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 COOPER ST APT 35",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "080103007",
            "telephone_number": "240-755-3055",
            "fax_number": "609-479-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMABLEY",
        "first_name": "STEPHEN",
        "middle_name": "KWAME",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Beverly, NJ
• Providers in Beverly, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.