Active NPI
Aixa E Fretts, DR
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1124532601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT-4000
- Practice address
- 2309 W. Martin Luther King Jr. Blvd
Suite 3
Tampa, FL 33607-3360 - Phone
- (813) 570-3609
- Fax
- (813) 607-2005
- NPI assigned
- Nov 20, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5928 | PR | |
| Psychologist | 103T00000X | TPPY-152 | FL | |
| Marriage & Family Therapist | 106H00000X | IMT-4000 | FL | Primary |
Addresses
Primary practice location
2309 W. Martin Luther King Jr. Blvd
Suite 3
Tampa, FL 33607-3360
Mailing address
PO Box 5501
Spring Hill, FL 34611-5501
Phone (813) 570-3609
Other practice location 1
F31 Calle 4
Carolina, PR 00985-4212
Phone (787) 628-2114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPPY-152 | FL | MD | Psychologist |
| 5928 | PR | MD | Psychologist |
| IMT-4000 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilingual Counseling of Florida, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1760108153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1124532601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5501",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346115501",
"telephone_number": "813-570-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 W. MARTIN LUTHER KING JR. BLVD",
"address_2": "SUITE 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073360",
"telephone_number": "813-570-3609",
"fax_number": "813-607-2005"
}
],
"practiceLocations": [
{
"address_1": "F31 Calle 4",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "009854212",
"country_code": "US",
"telephone_number": "787-628-2114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRETTS",
"first_name": "AIXA",
"middle_name": "E",
"credential": "DR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2023-11-09",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5928",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "TPPY-152",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT-4000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.