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AMBER MOON WELLNESS, PLLC
NPI 1689329112
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portsmouth, NH

Active since February 14, 2022
426 STATE ST, PORTSMOUTH, NH 03801(707) 654-4325(630) 883-0690 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amber Moon Wellness, Pllc NPPES

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

AMBER MOON WELLNESS, PLLC (NPI 1689329112) is a healthcare organization registered as a mental health (including community mental health center) in Portsmouth, New Hampshire and active in the NPI registry since February 2022. The organization lists Kathleen Amanda Waleryszak, Owner, as its authorized official.

NPPES Registry Identity

NPI1689329112
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAMBER MOON WELLNESS, PLLC
Location Address426 STATE STPortsmouth, NH 03801-4049
Mailing Address8a Ridgewood DrKittery, ME 03904-1046 · (207) 337-0456 · Fax (630) 883-0690
Phone(707) 654-4325
Fax(630) 883-0690
Organization SubpartNo
Authorized OfficialKathleen Amanda WaleryszakOwner · (707) 654-4325
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1689329112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
426 STATE ST, Portsmouth, NH 03801
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Moon Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amber Moon Wellness, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Waleryszak, LICSW
Clinical Social Worker
NPI 1821647470
426 STATE ST
Portsmouth, NH 03801
(707) 654-4325
✔ PECOSSame address

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 Moon Wellness, PLLC's NPI number?

The NPI number for Amber Moon Wellness, PLLC is 1689329112. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Amber Moon Wellness, PLLC located?

Amber Moon Wellness, PLLC is located at 426 State St, Portsmouth, NH 03801. The listed phone number is (707) 654-4325.

What is Amber Moon Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Amber Moon Wellness, PLLC enrolled in Medicare?

Yes. Amber Moon Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amber Moon Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Amber Moon Wellness, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amber Moon Wellness, PLLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.