Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMBER HARRIS MA, LPC
NPI 1104577881
Counselor - Professional in Green Bay, WI

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment
2854 KLONDIKE RD, GREEN BAY, WI 54311(920) 973-9605 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Apr 29, 2026, Jan 9, 2026 and 2 more (5 updates tracked since 2022).

About Amber Harris Ma, Lpc NPPES

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

AMBER HARRIS MA, LPC (NPI 1104577881) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (10582) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104577881
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMBER HARRISCredential: MA, LPC
Location Address2854 KLONDIKE RDGreen Bay, WI 54311-6708
Mailing Address2854 Klondike RdGreen Bay, WI 54311-6708
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 13, 2022
Last NPPES UpdateAugust 31, 20265 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1104577881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 10582✔ Licensed in MI · 6401225530✔ Licensed in TX · 93145
2854 KLONDIKE RD, Green Bay, WI 54311

Other Names 1

Former Name (1)Amber Siebold

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Harris Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163871070
PECOS Enrollment IDI20231218000194, I20250204002771, I20251230002539
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 Harris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3263 EATON ROAD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin and Michigan enrollments
  • Also billed through NPI 1467771535 (Michigan)
  • 875 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN FL 4
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 284 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.

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 Harris's NPI number?

The NPI number for Amber Harris is 1104577881. It was assigned to this individual provider in the NPPES registry on January 13, 2022. The provider is also known as Amber Siebold.

Where is Amber Harris located?

Amber Harris practices at 2854 Klondike Rd, Green Bay, WI 54311. The listed phone number is (920) 973-9605.

What is Amber Harris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amber Harris enrolled in Medicare?

Yes. Amber Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amber Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Harris reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and Texas Health Virtual Care (Dallas, TX). 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 Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Harris accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Cigna Healthcare and Harbor Health and 1 other insurer list Amber Harris 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 Harris was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.