Amy Kathryn Folsom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007414 Issued in MI

Practice address

110 S Auburn Rd
Auburn, MI 48611-9366

Phone

(989) 545-1358

Fax

(989) 393-2012

NPI assigned

Jan 20, 2014

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay-Arenac Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay City, MI
  • NPI 1154439438
  Medicare reassignment Care Compare group NPD
• Choose Your Change Counseling LLC

  • Mental Health Counselor
  • Auburn, MI
  • NPI 1942803945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1245652601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 PARKWAY DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487066201",
            "telephone_number": "989-274-8891",
            "fax_number": "989-393-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S AUBURN RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119366",
            "telephone_number": "989-545-1358",
            "fax_number": "989-393-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Mulholland St",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487087693",
            "country_code": "US",
            "telephone_number": "989-895-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Easlick, PMHNP
• Jessica Ellen Emerick
• Taylor Mae Elizabeth Fischer
• Makayla Fisher
• Hailey Nicole Fitch
• Food Value & Pharmacy Corp (wackerly pharmacy)
• Food Value & Pharmacy Corp (wackerly pharmacy)
• Nicolette Fowler
• Kirsten Gardner, PMHNP
• Kristena Gilbreath

• Professional Counselor in Auburn, MI
• Providers in Auburn, 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 28, 2021; 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.

Verify at the official NPI Registry.