NPIMap

Organization Active NPI

Kera K. Frederick Dba Capital City Counseling

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1063696417
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1728 Issued in NE
Legal business name
KERA K. FREDERICK DBA CAPITAL CITY COUNSELING
Practice address
7405 Pioneers Blvd Ste B
Lincoln, NE 68506-7554
Phone
(402) 488-0808
Fax
(402) 488-0301
NPI assigned
Dec 20, 2007
Last updated
Feb 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Kera Kristine FrederickNPI 1093740581
Title
Owner
Phone
(402) 488-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1728 NE Primary

Addresses

Primary practice location

7405 Pioneers Blvd Ste B
Lincoln, NE 68506-7554

Mailing address

7405 Pioneers Blvd Ste B
Lincoln, NE 68506-7554
Phone (402) 499-3001

National Provider Directory

National Provider Directory

Locations

7405 Pioneers Blvd
Ste B
Lincoln, NE 68506
Phone (402) 488-0101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1063696417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 PIONEERS BLVD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067554",
            "telephone_number": "402-499-3001",
            "fax_number": "402-488-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 PIONEERS BLVD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067554",
            "telephone_number": "402-488-0808",
            "fax_number": "402-488-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERA K. FREDERICK DBA CAPITAL CITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KERA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-488-0101"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.