Amy R Dean, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202885 Issued in TX

Practice address

123 Blue Heron Dr Ste 104
Montgomery, TX 77316-3192

Phone

(936) 449-8053

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Richards Dean Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lake Conroe Counseling Center, PLLC

  dba Lake Conroe Counseling

  • Marriage & Family Therapist
  • Montgomery, TX
  • NPI 1750817888
  Medicare reassignment NPD Authorized official
• Sandstone Chiropratic, P.a.

  • Chiropractor
  • Montgomery, TX
  • NPI 1154585636
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1740713361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BLUE HERON DR STE 104",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163192",
            "telephone_number": "913-953-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BLUE HERON DR STE 104",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163192",
            "telephone_number": "936-449-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15001 Walden Rd",
            "address_2": "Suite 235",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773568578",
            "country_code": "US",
            "telephone_number": "936-449-8053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-11-09",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DEAN",
            "middle_name": "RICHARDS",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew John Davis, M.D.
• Bradley Davis
• Jane Davis, PT, MSHP
• Mia Davis, LMT
• Kristin De Meo, M.S. CCC-SLP
• Deer Lake Lodge, LLC
• Dental Health Associates of Texas, PC (Stewart Creek Dental Care)
• Dentists of Montgomery, PC (Dentists of Montgomery)
• Tony Wesley Deramus, DC
• Erika Dichmann, PT, DPT

• Marriage & Family Therapist in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.