Active NPI
Amelia Fraser, LPC
- Professional Counselor
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1200 S Air Depot Blvd Ste O
Midwest City, OK 73110-4848 - Phone
- (405) 931-9811
- Fax
- (405) 561-4095
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1200 S Air Depot Blvd Ste O
Midwest City, OK 73110-4848
Mailing address
9000 Kimberly Rd
Oklahoma City, OK 73132-1052
Phone (918) 607-9395
Other practice location 1
9000 Kimberly Rd
Oklahoma City, OK 73132-1052
Phone (918) 607-9395
Other practice location 2
2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 740-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925003347 | OK | Practitioner - Mental Health Counselor | 3971044363 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Oasis Counseling Center,Inc.
Practice addresses (Care Compare)
2801 Parklawn Dr
Suite 303
Midwest City, OK 73110-4230
Phone (405) 610-3644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homecare Advisors LLC | Current | Accepting new patients | |
| Oasis Counseling Center,Inc. | Current | Accepting new patients |
Locations
2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053
1200 S Air Depot Blvd
Ste O
Midwest City, OK 73110
Phone (405) 931-9811
2801 Parklawn Dr
Ste 303
Oklahoma City, OK 73110
Phone (405) 401-6660
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durant, OK
- NPI 1689152894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1043667033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 KIMBERLY RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731321052",
"telephone_number": "918-607-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S AIR DEPOT BLVD STE O",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104848",
"telephone_number": "405-931-9811",
"fax_number": "405-561-4095"
}
],
"practiceLocations": [
{
"address_1": "9000 Kimberly Rd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731321052",
"country_code": "US",
"telephone_number": "918-607-9395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 W University Blvd",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "747012997",
"country_code": "US",
"telephone_number": "580-740-4053",
"fax_number": "877-725-8976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASER",
"first_name": "AMELIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.