Individual provider Active NPI

Ronald Craig Fredin, MA, LPC, LMFT

  • Professional Counselor
  • Covington, LA
National Provider Identifier
1306025713
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2414 Issued in LA
Practice address
100 South Tyler St.
Suite 7a
Covington, LA 70433
Phone
(504) 458-0361
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2414 LA Primary
Marriage & Family Therapist 106H00000X MFT122 LA

Addresses

Primary practice location

100 South Tyler St.
Suite 7a
Covington, LA 70433

Mailing address

PO Box 752
Abita Springs, LA 70420-0752
Phone (504) 458-0361

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2414LAMDProfessional Counselor
MFT122LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronald.fredin.1@11331.direct.athenahealth.com

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1306025713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704200752",
            "telephone_number": "504-458-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH TYLER ST.",
            "address_2": "SUITE 7A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "504-458-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDIN",
        "first_name": "RONALD",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2414",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "MFT122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.