Active NPI
Andrea Fry, LPC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1255968038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13439
- Practice address
- 7121 W Bell Rd Unit 135
Glendale, AZ 85308-8555 - Phone
- (602) 463-9333
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13439 | AZ | Primary |
Addresses
Primary practice location
7121 W Bell Rd Unit 135
Glendale, AZ 85308-8555
Mailing address
2419 W Dusty Wren Dr
Phoenix, AZ 85085-7034
Phone (602) 463-9333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13439 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1255968038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 W DUSTY WREN DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850857034",
"telephone_number": "602-463-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7121 W BELL RD UNIT 135",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088555",
"telephone_number": "602-463-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ANDREA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.