Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ami Danielle Fair

Individual provider Art Therapist · NPI 1104324821

Ami Danielle Fair is a Mental Health Counselor in South Bend, Indiana. Qualified in 2018, 8 years ago. Practices with Reflections Counseling, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3220 E Jefferson Blvd
South Bend, IN 46615-3028
Phone: (574) 222-2466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 — (616) 456-6571

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 39005230A (IN)
Art Therapist Taxonomy 221700000X

Record details

NPI number1104324821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2018
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address2729 Rockne Dr, South Bend, IN 46615-3436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Reflections Counseling — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount