Amanda Faye Frey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62425 Issued in TX

Practice address

208 Hewitt Dr Ste 103 #218
Waco, TX 76712-6693

Phone

(512) 686-6012

Fax

(512) 842-7227

NPI assigned

Feb 10, 2022

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Get Out of Your Head Therapy LLCGroup PAC ID 6608162896, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Get Out of Your Head Therapy, LLC

  • Professional Counselor
  • Waco, TX
  • NPI 1710359690

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1992459747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HEWITT DR STE 103 #218",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126693",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HEWITT DR STE 103 #218",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126693",
            "telephone_number": "512-686-6012",
            "fax_number": "512-842-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "AMANDA",
        "middle_name": "FAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Frazier, DPT
• Micayla Kathleen Freehan, NP
• Olivia Rae Freeman, OTR
• William Jacob French, FNP
• Laura Brown Freund, RN
• Maria Concepcion Frias
• Friends for Life
• Bennjamin Duane Fronk, M.D.
• Felicity Frost, BS
• Jordin Frost

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.