AMBER BLACKWOOD MINER MED, LCMHC, LPC
NPI 1992100994
Counselor - Professional in Shelby, NC

Active since November 03, 2014PECOS Enrolled
1300C GIDNEY ST, SHELBY, NC 28150(704) 484-2558 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2023, May 24, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Amber Blackwood Miner Med, Lcmhc, Lpc NPPES

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

AMBER BLACKWOOD MINER MED, LCMHC, LPC (NPI 1992100994) is an individual professional provider in Shelby, North Carolina, licensed in North Carolina (11198) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992100994
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMBER BLACKWOOD MINERCredential: MED, LCMHC, LPC
Location Address1300C GIDNEY STShelby, NC 28150-6822
Mailing Address114 Roberts AveYork, SC 29745-1303
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 3, 2014
Last NPPES UpdateNovember 8, 20235 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1992100994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 11198
1300C GIDNEY ST, Shelby, NC 28150

Secondary Practice Location 1

Location 13305 Healy DrWinston Salem, NC 27103-1406 · Phone (336) 448-4451 · Fax (336) 450-1884

Other Identifiers 2

Other9199SC · South Carolina Board Of Licensed Professional Counselors
Other11198NC · North Carolina Board Of Licensed Clinical Mental Health Counselors

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 Blackwood Miner Med, Lcmhc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204309651
PECOS Enrollment IDI20260626000736
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 Reassignment

Medicare enrollment records show Amber Miner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
3305 HEALY DR
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 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

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

Counselor (Professional)
1300C GIDNEY ST
SHELBY, NC 28150

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 Miner's NPI number?

The NPI number for Amber Miner is 1992100994. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Where is Amber Miner located?

Amber Miner practices at 1300C Gidney St, Shelby, NC 28150. The listed phone number is (704) 484-2558.

What is Amber Miner's specialty?

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

Is Amber Miner enrolled in Medicare?

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

Which organization bills Medicare for Amber Miner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Miner reassigns Medicare benefits to Banyan Tree Counseling PLLC (Winston Salem, NC). The 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 Miner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Miner accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Amber Miner 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 Miner was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.