Deborah Frederiksen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2015011508 Issued in MO

Practice address

124 Missouri Ave Ste 200
Kansas City, MO 64106-1499

Phone

(259) 381-6423

NPI assigned

Feb 22, 2022

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

Other identifiers 2

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1306592969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MISSOURI AVE STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MISSOURI AVE STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061499",
            "telephone_number": "259-381-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIKSEN",
        "first_name": "DEBORAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015011508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2015011508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "03180",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Frederich
• Frederick N. Shuler, M.D.,P.C.
• Amy Elizabeth Frederick
• Mindy Ann Frederick, DPT
• Jonelle Frederico, LPTA
• Carolyn Marie Fredrick, LPC
• Charles James Fredricks, D.C.
• Dann J Fredrickson, MD
• Free From Marketplace, Inc.
• Hannah Free, LMSW

• Mental Health Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.