Casey C Frederick, LCPC, LCPAT, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC13322 Issued in MD

Practice address

8 Brookes Ave Ste 200
Gaithersburg, MD 20877-2799

Phone

(240) 452-0872

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Create and Connect Art Therapy and Counseling

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1962379719
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1063007102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 ASH ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571552",
            "telephone_number": "814-562-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKES AVE STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772799",
            "telephone_number": "240-452-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CASEY",
        "middle_name": "C",
        "credential": "LCPC, LCPAT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13322",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "ATC360",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861036436",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Miranda Fox
• Monica Frantz, CNM
• Matthew Frasca, LGPC
• Jacqueline Frazier
• Madison Frazier
• Frekko Primary Care LLC
• Fresh Start Recovery
• Fresh Start Recovery Center LLC
• Fresh Start Recovery Center LLC
• Fresh Start Recovery Lab

• Mental Health Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.