Provider Demographics
NPI:1861128530
Name:JAMES, AMBER R (MED, LPC, NCC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:JAMES
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:R
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC, NCC
Mailing Address - Street 1:612 JEMISON GRV APT 312
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-3685
Mailing Address - Country:US
Mailing Address - Phone:205-515-0206
Mailing Address - Fax:
Practice Address - Street 1:77 3RD ST STE 400
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-8179
Practice Address - Country:US
Practice Address - Phone:719-259-4951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014428106H00000X
COLPC.0019176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist