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AMI DANIELLE FAIR
NPI 1104324821
Counselor - Mental Health in South Bend, IN

Active since January 28, 2018PECOS EnrolledAccepts Medicare Assignment
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615(574) 222-2466 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104324821
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMI DANIELLE FAIR
Location Address3220 E JEFFERSON BLVDSouth Bend, IN 46615-3028
Mailing Address2729 Rockne DrSouth Bend, IN 46615-3436 · (248) 703-6016
Phone(574) 222-2466
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 28, 2018
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1104324821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39005230A
Also ListedArt TherapistTaxonomy 221700000X
3220 E JEFFERSON BLVD, South Bend, IN 46615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8729514609
PECOS Enrollment IDI20241216003142
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ERIN CLAIRE LARKIN
Counselor (Mental Health)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2468
MARY POTTENGER
Counselor (Mental Health)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (765) 480-1180
SHAYNNA HOLLOWELL-WILLIAMS
Marriage & Family Therapist
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2466
AUTUMN KUESPERT CTRS
Social Worker
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2466
ABIGAIL STERLING POLLYEA
Counselor (Mental Health)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2466
DR. HEATHER HOLLEMAN PH.D., HSPP
Psychologist (Clinical)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 339-4832
MARY LOVE
Counselor (Mental Health)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2466
MRS. LYDIA GRACE OSCARSON
Social Worker (Clinical)
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615
St. Joseph County (574) 222-2466

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.

What insurance does Ami Fair accept?

Health plans from 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 20 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.