Makenna Nicole Fredericks, MHC-LP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P139954 Issued in NY

Practice address

115 Delafield St
Poughkeepsie, NY 12601-1749

Phone

(845) 240-7707

NPI assigned

Jan 16, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1205795234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD W",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411625",
            "telephone_number": "845-692-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DELAFIELD ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011749",
            "telephone_number": "845-240-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "MAKENNA",
        "middle_name": "NICOLE",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "P139954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alleyne Fraser, M.D.
• John Fratto, RPH
• Elizabeth M. Fratz, RN
• Stacey Frederick, LPN
• Christina Fredericks, NP
• Michael Douglas Freedman, M.D.
• Latoya Freeman, LPN
• Tony Edward Freeman, RN
• Varnena Freeman
• Vlad Frenk, M.D.

• Counselor in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.