Individual provider Active NPI

Aixa E Fretts, DR

  • Marriage & Family Therapist
  • Tampa, FL
National Provider Identifier
1124532601
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT-4000 Issued in FL
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

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
TPPY-152FLMDPsychologist
5928PRMDPsychologist
IMT-4000FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Counseling of Florida, LLC CurrentSince Oct 23, 2022 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.

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.

Verify at the official NPI Registry.