Jon Frederick, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

155 S Madison St Ste 306
Denver, CO 80209-3014

Phone

(725) 867-0252

NPI assigned

Dec 20, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polaris Partners Counseling and Consulting LLCGroup PAC ID 2769892538, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1346849841
  Medicare reassignment Care Compare group NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1023974599
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1912764515
  NPD

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1326634759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 W 107TH PL UNIT E",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317719",
            "telephone_number": "725-867-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MADISON ST STE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093014",
            "telephone_number": "725-867-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Grossman, MD
• Fred Grover Jr. M.D
• Beth Marie Fredeen, M.A. , NCC
• Douglas Fredeen, B.S.
• Lauren Fredeen, MOT, OTR/L
• Laura Michelle Frederick, RN
• Susan Frederick, M.D.
• Trudy E Frederics, AUD
• Elizabeth C Fredrick, M.A.
• Ashley Donia Fredrickson, N.P.

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.