Active NPI
Deborah Fredson, BA
- Mental Health Counselor
- Port Angeles, WA
National Provider Identifier
1003236530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60154890
- Practice address
- 118 E 8TH St
Port Angeles, WA 98362-6129 - Phone
- (360) 457-0431
- Fax
- (360) 457-0493
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60154890 | WA | Primary |
Addresses
Primary practice location
118 E 8TH St
Port Angeles, WA 98362-6129
Mailing address
118 E 8TH St
Port Angeles, WA 98362-6129
Phone (360) 457-0431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60154890 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1003236530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626129",
"telephone_number": "360-457-0431",
"fax_number": "360-457-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626129",
"telephone_number": "360-457-0431",
"fax_number": "360-457-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDSON",
"first_name": "DEBORAH",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60154890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.