Amy Fleming, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79174 Issued in TX

Practice address

3608 Preston Rd Ste 146
Plano, TX 75093-8640

Phone

(469) 910-4410

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 14, 2024 through Mar 14, 2028

Medicare enrollment (NPD)

Not 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.

• Gracestone Counseling PLLC

  • Professional Counselor
  • Plano, TX
  • NPI 1922646637
  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1407499619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD STE 146",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938640",
            "telephone_number": "469-910-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD STE 146",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938640",
            "telephone_number": "469-910-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "79174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79174",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "79174",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.amyflemingcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "amy@amyflemingcounseling.com",
            "address_1": "1202 Richardson Dr Ste 305",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750804402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@gracestonecounseling.com",
            "affiliation": "N",
            "endpointDescription": "emaill",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3608 Charles Place",
            "address_2": "Suite 146",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Five Star Care Rides
• Maria Flaim
• Flandrau Dialysis, LLC (Plano on Custer Dialysis)
• Sally Fleck, PHD
• Dan Keith Fleishman, D.C,
• Berry A. Fleming, M.D.
• Holly L Fleming, MASSAGE LICENSE
• Jennifer Michelle Fleming, LVN
• Fletcher & Associates Psychological Services, P.a.
• Fletcher Counseling, Inc.

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.