Elizabeth Fedrick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17899 Issued in AZ

Practice address

1206 E Warner Rd Ste 203
Gilbert, AZ 85296-3132

Phone

(480) 590-3915

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Evolve Counseling & Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gilbert, AZ
  • NPI 1932768975
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1154770113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD STE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979282",
            "telephone_number": "480-988-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E WARNER RD STE 203",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963132",
            "telephone_number": "480-590-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 N Ironwood Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203830",
            "country_code": "US",
            "telephone_number": "480-828-1075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "288 N Ironwood Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203830",
            "country_code": "US",
            "telephone_number": "480-828-1075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 S Power Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852979282",
            "country_code": "US",
            "telephone_number": "480-988-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDRICK",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-15833",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fay
• Angela Fears, LMT
• Britani Janet Febbie, OTA
• Federal Injury Clinics of Arizona, LLC
• Karie Lynn Fedorick, PA-C
• Lawrence F Feld, M.D.
• Christina L Felix
• Alisha Felten
• Earl L Feng, MD
• Charles Fenigstein

• Professional Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.