Individual provider Active NPI

Amy Fresch, LPC

  • Mental Health Counselor
  • Troy, MI
National Provider Identifier
1619544921
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401019393 Issued in MI
Practice address
550 Stephenson Hwy Ste 200
Troy, MI 48083-1132
Phone
(248) 765-0884
Fax
(248) 616-9759
NPI assigned
Jun 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401019393 MI Primary

Addresses

Primary practice location

550 Stephenson Hwy Ste 200
Troy, MI 48083-1132

Mailing address

550 Stephenson Hwy Ste 200
Troy, MI 48083-1132
Phone (248) 765-0884

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afresch@riversbendpc.com Direct

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

LicenseStateTypeSpecialty
6401019393MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River'S Bend, P.C. Mental Health CurrentSince Sep 2, 2024 Accepting new patients

Locations

550 Stephenson Hwy
Ste 200
Troy, MI 48083
Phone (248) 585-3239

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1619544921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 STEPHENSON HWY STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831132",
            "telephone_number": "248-765-0884",
            "fax_number": "248-616-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 STEPHENSON HWY STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831132",
            "telephone_number": "248-765-0884",
            "fax_number": "248-616-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESCH",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401019393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afresch@riversbendpc.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "550 Stephenson Hwy Ste 200",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.