Amanda Frey, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015735 Issued in MI

Practice address

1591 W Centre Ave Ste 205
Portage, MI 49024-6315

Phone

(269) 252-4004

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Frey Therapy LLC

  • Professional Counselor
  • Portage, MI
  • NPI 1073252995
  NPD Authorized official
• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)
• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1043761349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 CHESTNUT RIDGE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247600",
            "telephone_number": "419-345-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 W CENTRE AVE STE 205",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246315",
            "telephone_number": "269-252-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3018 Oakland Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083998",
            "country_code": "US",
            "telephone_number": "269-225-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "AMANDA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006707",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Freeland
• Jeffry Scott Freeman, PA
• Sydney Freeman
• Fresh Perspective Home Care LLC
• Frey Therapy LLC
• Jessica Erin Frieder, PH.D.
• Amy Jo Fritz, NP
• Erik Reynold Fritzen, LLMSW
• Corrine N Fritzsche
• Fronczak Dentistry PLLC

• Professional Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.