AMBER M. HISS MSW, LCSW
NPI 1063977833
Counselor - Mental Health in Fort Wayne, IN

Active since February 06, 2019PECOS Enrolled
2622 LAKE AVE STE 1, FORT WAYNE, IN 46805(260) 299-3160 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Feb 6, 2019 (2 updates tracked since 2019).

About Amber M. Hiss Msw, Lcsw NPPES

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

AMBER M. HISS MSW, LCSW (NPI 1063977833) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (34009252A) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063977833
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMBER M. HISSCredential: MSW, LCSW
Location Address2622 LAKE AVE STE 1Fort Wayne, IN 46805-5410
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928
Sole ProprietorNo
Enumeration DateFebruary 6, 2019
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1063977833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 34009252A
2622 LAKE AVE STE 1, Fort Wayne, IN 46805

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber M. Hiss Msw, Lcsw 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amber Hiss reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2622 LAKE AVE STE 1
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 322 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
404 E WASHINGTON BLVD
Fort Wayne, IN 46802
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Family Medicine
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Counselor (Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Clinic/Center (Federally Qualified Health Center (FQHC))
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Hiss's NPI number?

The NPI number for Amber Hiss is 1063977833. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Amber Hiss located?

Amber Hiss practices at 2622 Lake Ave Ste 1, Fort Wayne, IN 46805. The listed phone number is (260) 299-3160.

What is Amber Hiss's specialty?

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

Is Amber Hiss enrolled in Medicare?

Yes. Amber Hiss is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Hiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Hiss reassigns Medicare benefits to 3 organizations: Meridian Health Services Corp. (Fort Wayne, IN), Alliance Health Centers, Inc. (Fort Wayne, IN) and Bowen Health Inc (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Hiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Hiss accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Amber Hiss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Hiss was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.