Organization Active NPI

Amber Fry Counseling, PC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1700147196
Registry record updated Jun 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
916 Issued in NE
Legal business name
AMBER FRY COUNSELING, PC
Practice address
1710 N 144TH St
Ste 4
Omaha, NE 68154-4715
Phone
(402) 315-3522
Fax
(402) 614-6174
NPI assigned
Jun 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2012

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

Authorized official

Name
Ms. Amber Fry, M.A./LIMHPNPI 1144337296
Title
President
Phone
(402) 315-3522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 916 NE Primary

Addresses

Primary practice location

1710 N 144TH St
Ste 4
Omaha, NE 68154-4715

Mailing address

1710 N 144TH St
Ste 4
Omaha, NE 68154-4715
Phone (402) 315-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201002243 NE Part B Supplier - Clinic/Group Practice 0244683613 Receives reassigned benefits from 1 practitioner
Practice locations: Gretna, NE

National Provider Directory

National Provider Directory

Locations

1710 N 144th St
Ste 4
Omaha, NE 68154
Phone (402) 315-3522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338681600000",
    "number": "1700147196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N 144TH ST",
            "address_2": "STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544715",
            "telephone_number": "402-315-3522",
            "fax_number": "402-614-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N 144TH ST",
            "address_2": "STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544715",
            "telephone_number": "402-315-3522",
            "fax_number": "402-614-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER FRY COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-03",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-315-3522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A./LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.