Active NPI
Amber Lynn Fogarty, MA, LLPC
- Professional Counselor
- Portland, MI
National Provider Identifier
1710131990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- L1333791
- Practice address
- 8045 Meadowlane Dr
Portland, MI 48875-1911 - Phone
- (517) 647-5123
- NPI assigned
- Nov 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | L1333791 | MI | Primary |
| School Counselor | 101YS0200X | L1333791 | MI |
Addresses
Primary practice location
8045 Meadowlane Dr
Portland, MI 48875-1911
Mailing address
8045 Meadowlane Dr
Portland, MI 48875-1911
Phone (517) 647-5123
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1333791 | MI | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1710131990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 MEADOWLANE DR",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751911",
"telephone_number": "517-647-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 MEADOWLANE DR",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751911",
"telephone_number": "517-647-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "AMBER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "L1333791",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "L1333791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.