AMBER SELF (NPI# 1366089302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366089302 |
| Entity Type | Individual |
| Full Name | AMBER SELF |
| Practice Address |
15221 St Rt 124 Piketon OH 45661 |
| Mailing Address |
1957 Western Ave Apt 611 Chillicothe OH 45601-7513 |
| Practice Telephone | 7409476727 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
167871 | OH | Behavioral Health & Social Service Providers |
| Street Address |
15221 ST RT 124 |
| City | PIKETON |
| State | OH |
| Zip Code | 45661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1114550050 | Benjamin Glispie | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2020-02-19 |
| 1316437536 | David Grant | Case Manager/Care Coordinator | 15221 St Rt 124, Piketon, OH 45661 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1538657622 | Brewsters Hometown Pharmacy LLC | Pharmacy | 104 Thornton Dr, Piketon, OH 45661 | 2018-04-25 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1811409899 | Lydia R Jenkins | Counselor | 15221 St. Rt. 124, Piketon, OH 45661 | 2017-10-30 |
| 1558729806 | Pleasant Hill Leasing, LLC | Skilled Nursing Facility | 7143 Us Route 23 South, Piketon, OH 45661 | 2016-02-02 |
| 1750758892 | David Conley | Nurse Practitioner | 418 Skyline Dr, Piketon, OH 45661 | 2015-08-24 |
| 1558597724 | Sarah E. Williams | Dental Hygienist | 7777 U.S. Route 23, Piketon, OH 45661 | 2009-06-02 |
| 1205073327 | Pike Co | Ambulance | 109 Oliver Street, Piketon, OH 45661 | 2009-01-12 |
| Find all providers in zip 45661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1811409899 | Lydia R Jenkins | Counselor | 15221 St. Rt. 124, Piketon, OH 45661 | 2017-10-30 |
| 1205355393 | Michelle Rana Colley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2017-09-11 |
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1255946554 | Robert Hurles | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2020-09-14 |
| 1114550050 | Benjamin Glispie | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2020-02-19 |
| 1053957878 | David Bryan Porter Jr. | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-27 |
| 1740826890 | Mason Conley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-25 |
| Find all providers in PIKETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.