Heather Frederick, LPC, CAADC, CCS
Individual provider Active NPI Professional Counselor · Temperance, MI
NPI 1003020249 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1003020249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 7355 Lewis Ave Ste C
Temperance, MI 48182-1465 - Phone
- (734) 224-3761
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oliver Lee Consulting PLLC
Practice addresses (Care Compare)
7355 Lewis Ave
Suite B
Temperance, MI 48182-1465
Phone (734) 224-3761
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123001871 | MI | Practitioner - Mental Health Counselor | 0648622936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Oliver Lee Consulting PLLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
130 Medical Center Dr
Carleton, MI 48117
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
428 S Monroe St
Ste 209
Monroe, MI 48161
Phone (734) 224-3761
7355 Lewis Ave
Ste B
Temperance, MI 48182
Phone (419) 540-8469
7355 Lewis Ave
Ste C
Temperance, MI 48182
Phone (734) 224-3761
8765 Lewis Ave
Temperance, MI 48182
Interoperability endpoints
- hfrederick255333@direct.promedica.org
- https://fhir.promedica.org/FHIR/MYCHART/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
7355 Lewis Ave Ste C
Temperance, MI 48182-1465
Mailing address
7250 Douglas Rd
Lambertville, MI 48144-9488
Phone (734) 652-6782
Other practice location 1
2301 S Huron Pkwy
Ann Arbor, MI 48104-5133
Phone (734) 725-8802
Other providers in Temperance, MI
- Family Medical Center of Michigan,Inc
- Family Medical Center of Michigan,Inc
- Famly Medical Center of Michigan, Inc
- Rebecca Elizabeth Fant
- Edward Charles Follas
- Laurie Ann Fry
- Stacy Gamel
- Diana Gaulin
- George J. Spader, DDS, PC
- Teresa Kem Graham
All providers in Temperance, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.