Active NPI
Nicole Fritz
- Mental Health Counselor
- Nazareth, PA
National Provider Identifier
1700265477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BH001635
- Practice address
- 25 S Broad St
Ste 101
Nazareth, PA 18064-2255 - Phone
- (610) 365-8989
- Fax
- (610) 365-8994
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BH001635 | PA | Primary |
Addresses
Primary practice location
25 S Broad St
Ste 101
Nazareth, PA 18064-2255
Mailing address
25 S Broad St
Ste 101
Nazareth, PA 18064-2255
Phone (610) 365-8989
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH001635 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backyard Treehouse Pediatric Therapy Center PC | Past | Accepting new patients |
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.
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- Nazareth, PA
- NPI 1396050910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1700265477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 S BROAD ST",
"address_2": "STE 101",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642255",
"telephone_number": "610-365-8989",
"fax_number": "610-365-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S BROAD ST",
"address_2": "STE 101",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642255",
"telephone_number": "610-365-8989",
"fax_number": "610-365-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "BH001635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.