Active NPI
Amber D. Fry, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1144337296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 916
- Practice address
- 10060 Regency Cir
Omaha, NE 68114-3732 - Phone
- (402) 354-1354
- Fax
- (402) 354-1363
- NPI assigned
- Aug 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2493 | NE | |
| Counselor | 101Y00000X | 1355 | NE | |
| Mental Health Counselor | 101YM0800X | 916 | NE | Primary |
Addresses
Primary practice location
10060 Regency Cir
Omaha, NE 68114-3732
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025447000 | Medicaid | NE | |
| 47068731711 | Medicaid | NE | |
| 47068731762 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20240201002345 | NE | Practitioner - Mental Health Counselor | 1153774526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Enterprise Dr
Gretna, NE 68028-7943
Phone (402) 315-3522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1355 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Fry Counseling, PC | Mental Health | Current | Accepting new patients |
Locations
101 Enterprise Dr
Gretna, NE 68028
Phone (402) 315-3522
Organizations & group practices 1
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": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1144337296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 REGENCY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143732",
"telephone_number": "402-354-1354",
"fax_number": "402-354-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "AMBER",
"middle_name": "D.",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "2493",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1355",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025447000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731711",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731762",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.