Frey Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FREY THERAPY LLC

Practice address

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

Phone

(269) 525-4004

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Frey, MANPI 1043761349

Title

Owner

Phone

(419) 345-7404

Specialties & licenses 3

Addresses

Other names 1

• Spring Tide Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Frey, M.A.

  • Professional Counselor
  • Portage, MI
  • NPI 1043761349
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1073252995",
    "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"
        },
        {
            "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": "269-525-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-345-7404",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Tide Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Jane Frederick
• Haley Freeland
• Jeffry Scott Freeman, PA
• Sydney Freeman
• Fresh Perspective Home Care LLC
• Amanda Frey, M.A.
• Jessica Erin Frieder, PH.D.
• Amy Jo Fritz, NP
• Erik Reynold Fritzen, LLMSW
• Corrine N Fritzsche

• 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 Jun 13, 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.