KIMBERLY GOULD FRY LMFT
NPI 1740846310
Marriage & Family Therapist in Austin, TX

Q: What is Kimberly Fry's NPI number?

The NPI number for Kimberly Fry is 1740846310. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Q: What is Kimberly Fry's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kimberly Fry enrolled in Medicare?

No. Kimberly Fry has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fry was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2019Opted out of Medicare · through Jan 30, 2028

601 FARLEY DR, AUSTIN, TX 78753(704) 975-8613 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2021, Dec 31, 2020, May 19, 2019 (3 updates tracked since 2019).

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About Kimberly Gould Fry Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY GOULD FRY LMFT (NPI 1740846310) is an individual marriage & family therapist in Austin, Texas, licensed in (202865) and active in the NPI registry since May 2019. She has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1740846310

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY GOULD FRYCredential: LMFT

Location Address601 FARLEY DRAustin, TX 78753-3114

Mailing Address6104 Toscana AveAustin, TX 78724-6249 · (512) 387-1398

Phone(704) 975-8613

Sole ProprietorYes

Enumeration DateMay 19, 2019

Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1740846310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed · 202865

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

601 FARLEY DR, Austin, TX 78753

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kimberly Gould Fry Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024

Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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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.

AMY NICOLE OLIVER LPC

Counselor (Professional)