AMI DANIELLE FAIR
NPI 1104324821
Counselor - Mental Health in South Bend, IN
About Ami Danielle Fair NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMI DANIELLE FAIR (NPI 1104324821) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39005230A) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ami Danielle Fair is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ami Fair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46615
- Reassigned Medicare billing, Indiana enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ami Fair's NPI number?
The NPI number for Ami Fair is 1104324821. It was assigned to this individual provider in the NPPES registry on January 28, 2018.
Where is Ami Fair located?
Ami Fair practices at 3220 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (574) 222-2466.
What is Ami Fair's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ami Fair enrolled in Medicare?
Yes. Ami Fair is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ami Fair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ami Fair reassigns Medicare benefits to Reflections Counseling (South Bend, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ami Fair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ami Fair accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Ami Fair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ami Fair was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ami Danielle Fair · NPI 1104324821
Mental Health provider in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since January 28, 2018.
## Identity
- **NPI:** 1104324821 (Entity type: Individual)
- **Enumerated:** January 28, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39005230A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3220 E JEFFERSON BLVD, South Bend, IN 46615-3028
- **Phone:** (574) 222-2466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Reflections Counseling (NPI 1023428711, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104324821) · Data from the CMS NPPES public registry.