Fireside LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FIRESIDE LLC

Practice address

1011 N 9TH St
Beatrice, NE 68310-2356

Phone

(785) 580-3937

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Arynne Horton, LPNPI 1477170710

Title

Psychologist

Phone

(785) 580-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arynne Gabrielle Horton, LP

  • Psychologist
  • Beatrice, NE
  • NPI 1477170710
  NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1730886037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102356",
            "telephone_number": "785-580-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "ARYNNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-580-3937",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025287200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Farringer
• Lindsey Farris, P.T.A.
• Amber Dawn Ferguson, M.A., LMHP
• Pamela Fiedler
• John T Findley, M.D.
• Wanda Flenker
• Alice E Fort
• Leann Fossler
• Tracie Fossler
• Amber Lynn Fox, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.