John Casey Friedeck, AMFT, APCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1760 S Lewis Rd
Camarillo, CA 93012-8520

Phone

(805) 383-3669

Fax

(805) 383-3692

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1265088694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-383-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-383-3669",
            "fax_number": "805-383-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rosewood Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930105933",
            "country_code": "US",
            "telephone_number": "805-389-6870 x477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDECK",
        "first_name": "JOHN",
        "middle_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "AMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111707",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE CORPORATION",
            "identifier": "1578772323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Brian Freeland, O.D.
• Anne M Freese, PHARMD
• Jessica Freese, MS, RD
• Barbara Freie, M.A., LMFT #102618
• Fresh & Fabulous, Inc.
• Stephanie Friedman
• Johnny Frugoli
• Jenny Fuentes, LVN
• Laura Fuld, R.D.
• Wilson Fung, MD

• Counselor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.