Active NPI
Amanda Kay Fangmeier, MA
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1780925867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9917
- Practice address
- 5600 S 59TH St
Ste 104
Lincoln, NE 68516-2386 - Phone
- (402) 484-0595
- Fax
- (402) 484-6306
- NPI assigned
- Mar 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9917 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1184 | NE |
Addresses
Primary practice location
5600 S 59TH St
Ste 104
Lincoln, NE 68516-2386
Mailing address
7140 Saint Marys Ave
Denton, NE 68339-3011
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 |
|---|---|---|---|
| 9917 | NE | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1184 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1780925867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 SAINT MARYS AVE",
"city": "DENTON",
"state": "NE",
"postal_code": "683393011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 S 59TH ST",
"address_2": "STE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685162386",
"telephone_number": "402-484-0595",
"fax_number": "402-484-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANGMEIER",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9917",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.