Kera Kristine Frederick, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1728 Issued in NE

Practice address

7405 Pioneers Blvd Ste B
Lincoln, NE 68506-7554

Phone

(402) 488-0101

Fax

(402) 488-0301

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Kera K. Frederick Dba Capital City Counseling

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1063696417
  NPD Authorized official
• Alexandra Kuhlman

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1295262707
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1093740581",
    "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": "402-488-0101",
            "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": "402-488-0101",
            "fax_number": "402-488-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KERA",
        "middle_name": "KRISTINE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084647426",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Frazer, BSN, RN, OCN
• Fred Miller James
• Frederick a. Mausolf, M.D., P.C.
• Frederick D. Hathaway, MD, PC
• Julie Frederick, RN
• Leila Marie Frederick
• James Doyle Free, DR
• Nathan James Free, DDS
• Toby Free, M.D.
• Freedom Healthcare LLC

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.