Rebecca Nicole Fry, LLPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018109 Issued in MI

Practice address

7932 Goshen Dr
West Bloomfield, MI 48322-5002

Phone

(214) 536-4590

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Nicole Vrla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1679104491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 GOSHEN DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225002",
            "telephone_number": "214-536-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 GOSHEN DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225002",
            "telephone_number": "214-536-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "LLPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00116653",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "VRLA",
            "middle_name": "NICOLE",
            "credential": "CRC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randi Alison Fried, MA, CCC-SLP
• Stephen Simon Friedman, D.O.
• Renata Frieman-Czajkowski, MA, LMT
• Friendship Circle
• Amanda S Froling, MPT
• Yevgeniya Fudym, PTA
• Fulfilling Life'S Yearnings Mental Health Center, PLLC
• Full Circle Behavioral Services, PC
• Full Cirlce Wellness
• Full Range Wellness

• Professional Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.