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Amy S Bracken , MS, ED, LPC

Counselor - Professional β€’ Springfield, OH

Active NPI 1518308360 Individual Practitioner Female Practitioner
Practice location in NPPES

474 N Yellow Springs St
Springfield, OH 455042463

Call 9373999500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

474 N Yellow Springs St

Springfield, OH 455042463

Telephone 9373999500
Organization at the Same NPPES Address or Phone
Mental Health Services For Clark And Madison Counties Inc Facility NPI 1003074964

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Troy, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amy Bracken has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amy Bracken as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Ohio

57 active clinicians are listed under Counselor - Professional with a practice address in Springfield, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

1.8% of these 57 clinicians have the CMS telehealth indicator.

15.8% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.19800825-SUPV
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0066745 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240807002414

Enrollment State Jurisdiction

OH

PECOS Control ID

7618414723

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1059 N Market St

Troy, OH 453731433

Phone: 9373354543

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Fawzia Toor , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1063576056

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 12, 2024

Registered at 474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 455042463 (Tel: 9373999500)

πŸ“
Updated Business Mailing Address August 12, 2024

Registered at 474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 455042463 (Tel: 9373999500)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Counselor (license number reported to NPPES: OH E.19800825-SUPV)

πŸ“
Updated Business Mailing Address May 04, 2023

Registered at 1101 N VANDEMARK RD, SIDNEY, OH 453653567 (Tel: 9377104616)

βœ…
NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2013

Registered at 1059 N MARKET ST, TROY, OH 453731433 (Tel: 9373354543)

πŸ“
Business Mailing Address (Initial Record) July 09, 2013

Registered at 1059 N MARKET ST, TROY, OH 453731433 (Tel: 9373354543)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2013

Recorded as AMY BRACKEN, MS, ED, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Counselor (license number reported to NPPES: OH 1100185)

🟒
Initial NPI Registration & Enumeration July 09, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518308360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2013
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

474 N Yellow Springs St

Springfield, OH 455042463

Phone: 9373999500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.