MRS. AMBER NICHOLE SULLIVAN MAXWELL MA LPC
NPI 1013279710
Counselor - Mental Health in Oklahoma City, OK

Q: What is Amber Maxwell's NPI number?

The NPI number for Amber Maxwell is 1013279710. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Q: What is Amber Maxwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amber Maxwell was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2012PECOS Enrolled

2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107(405) 858-1700 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

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About Mrs. Amber Nichole Sullivan Maxwell Ma Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMBER NICHOLE SULLIVAN MAXWELL MA LPC (NPI 1013279710) is an individual mental health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (5404) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1013279710

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. AMBER NICHOLE SULLIVAN MAXWELLCredential: MA LPC

Location Address2617 GENERAL PERSHING BLVDOklahoma City, OK 73107-6437

Mailing AddressPo Box 12978Oklahoma City, OK 73157-2978

Phone(405) 858-1700

Sole ProprietorNo

Enumeration DateJune 9, 2012

Last NPPES UpdateDecember 14, 20203 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1013279710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 5404

Also ListedCounselorTaxonomy 101Y00000X · License 5404 (OK)

2617 GENERAL PERSHING BLVD, Oklahoma City, OK 73107

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Secondary Practice Location 1

Location 11140 N Hudson AveOklahoma City, OK 73103-3918 · Phone (405) 858-1700 ext. 2918

Other Identifiers 1

Other4505OK · Counselor- Mental Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amber Nichole Sullivan Maxwell Ma Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MEGAN ANNE HUNT

Counselor