Individual provider Active NPI

Amelia Fraser, LPC

  • Professional Counselor
  • Midwest City, OK
National Provider Identifier
1043667033
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Homecare Advisors LLC CurrentSince Oct 20, 2024 Accepting new patients
Oasis Counseling Center,Inc. CurrentSince Sep 23, 2024 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.

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

Verify at the official NPI Registry.