Active NPI
Mary Louise Fry, LCPC
- Professional Counselor
- Olathe, KS
National Provider Identifier
1932265667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC235
- Practice address
- 14201 S Mur Len Rd
Suite 104
Olathe, KS 66062-1889 - Phone
- (913) 829-0221
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC235 | KS | Primary |
Addresses
Primary practice location
14201 S Mur Len Rd
Suite 104
Olathe, KS 66062-1889
Mailing address
12340 S Pflumm Rd
Olathe, KS 66062-9601
Phone (913) 829-0221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC235 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932265667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12340 S PFLUMM RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660629601",
"telephone_number": "913-829-0221",
"fax_number": "913-791-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 S MUR LEN RD",
"address_2": "SUITE 104",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621889",
"telephone_number": "913-829-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LCPC235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.