Active NPI
Gabrielle Fritze, M.S., LMFT
- Counselor
- Afton, WY
National Provider Identifier
1841365384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LMFT 137
- Practice address
- 389 Adams Street
Afton, WY 83110 - Phone
- (307) 885-9883
- Fax
- (307) 885-5206
- NPI assigned
- Nov 21, 2006
- Last updated
- May 20, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMFT 137 | WY | Primary |
Addresses
Primary practice location
389 Adams Street
Afton, WY 83110
Mailing address
389 Adams Street
Afton, WY 83110
Phone (307) 885-9883
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99003227 | Medicaid | NH | |
| 7706655Y0NH01 | Other | NH | BHN |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 137 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1841365384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 ADAMS STREET",
"city": "AFTON",
"state": "WY",
"postal_code": "83110",
"telephone_number": "307-885-9883",
"fax_number": "307-885-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 ADAMS STREET",
"city": "AFTON",
"state": "WY",
"postal_code": "83110",
"telephone_number": "307-885-9883",
"fax_number": "307-885-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZE",
"first_name": "GABRIELLE",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LMFT 137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99003227",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHN",
"identifier": "7706655Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.