Alexander Eliot Fry, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006873 Issued in MI

Practice address

160 Division St Ste E
Coldwater, MI 49036-2914

Phone

(517) 677-8755

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

No

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

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Serene Attachments Therapy PLLC

  • Community/Behavioral Health Agency
  • Coldwater, MI
  • NPI 1114500964
  Medicare reassignment NPD Authorized official
• Dorman and Associates PLC

  • Psychologist
  • Kalamazoo, MI
  • NPI 1275737413
  NPD (past)
• Meaningful Connections Counseling PLC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1275912933

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1326690108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DIVISION ST STE E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362914",
            "telephone_number": "517-677-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DIVISION ST STE E",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362914",
            "telephone_number": "517-677-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6963 W Kl Ave # A",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098043",
            "country_code": "US",
            "telephone_number": "269-459-9790",
            "fax_number": "269-459-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "ALEXANDER",
        "middle_name": "ELIOT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Denae Fowle
• Reina Estebania Francisco
• Heather Frank, LLMSW
• Evan Andrew Frederick, D.D.S.
• Freedom Recovery Center LLC
• Lubov Fry, ARNP
• Melinda Fuchs, LCSW
• G David Rubley DDS PC
• Ishan Gajera
• Laurie Gajewski, LPN

• Marriage & Family Therapist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.