Active NPI
Amy Beth Fry, MS, LLMFT
- Marriage & Family Therapist
- Ann Arbor, MI
National Provider Identifier
1144598400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006501
- Practice address
- 781 Avis Dr Ste 200
Suite 200
Ann Arbor, MI 48108-8959 - Phone
- (734) 477-0135
- Fax
- (734) 477-0213
- NPI assigned
- Dec 1, 2011
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006501 | MI | Primary |
Addresses
Primary practice location
781 Avis Dr Ste 200
Suite 200
Ann Arbor, MI 48108-8959
Mailing address
781 Avis Dr Ste 200
Suite 200
Ann Arbor, MI 48108-8959
Phone (734) 477-0135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213119549 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006501 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands Across the Water, Inc | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Ann Arbor, MI
- NPI 1053663633
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1144598400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 AVIS DR STE 200",
"address_2": "SUITE 200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481088959",
"telephone_number": "734-477-0135",
"fax_number": "734-477-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 AVIS DR STE 200",
"address_2": "SUITE 200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481088959",
"telephone_number": "734-477-0135",
"fax_number": "734-477-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "AMY",
"middle_name": "BETH",
"credential": "MS, LLMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213119549",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.