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

Individual provider Mental Health Counselor · NPI 1316578867

Amy Anne Fordham, MA, LPCC is a Mental Health Counselor in Rochester, Minnesota. Qualified in 2017, 9 years ago. Practices with Brightside Medical PA, a 95-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3800 Highway 52 N Ste 220
Rochester, MN 55901-5825
Phone: (507) 932-7321
Fax: (507) 540-1285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC2369 (MN)

Record details

NPI number1316578867
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedFebruary 3, 2020
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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