Individual provider Active NPI

Carol C Frye, LPC LMFT

  • Professional Counselor
  • Sweetwater, TX
National Provider Identifier
1174629729
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13427 Issued in TX
Practice address
301 Jenny George Lane
Sweetwater, TX 79556
Phone
(325) 235-9896
Fax
(325) 235-1489
NPI assigned
Sep 14, 2006
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13427 TX Primary
Marriage & Family Therapist 106H00000X 4655-45637 TX

Addresses

Primary practice location

301 Jenny George Lane
Sweetwater, TX 79556

Mailing address

1310 Grand Ave
Sweetwater, TX 79556-2628
Phone (325) 235-9896

Other identifiers 1

IdentifierTypeStateIssuer
028343401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240411003066 TX Practitioner - Marriage and Family Therapist 6901245836 Practice locations: Sweetwater, TX

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 E 3Rd St
Sweetwater, TX 79556-4529
Phone (325) 605-7995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4655-45637TXMDMarriage & Family Therapist
13427TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1174629729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GRAND AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562628",
            "telephone_number": "325-235-9896",
            "fax_number": "325-235-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LANE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "79556",
            "telephone_number": "325-235-9896",
            "fax_number": "325-235-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "CAROL",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13427",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4655-45637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028343401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.