Kenneth A Frazier, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC341 Issued in NC

Practice address

5318 W Friendly Ave
Greensboro, NC 27410-4349

Phone

(336) 292-6947

Fax

(336) 292-7409

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phobia Counseling Center of the Triad Inc

  dba Phobia Treatment Center of the Triad Inc Kenneth A Frazier

  • Counselor
  • Greensboro, NC
  • NPI 1255366803
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336248350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104349",
            "telephone_number": "336-292-6947",
            "fax_number": "336-292-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104349",
            "telephone_number": "336-292-6947",
            "fax_number": "336-292-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "V GROUP BCBS",
            "identifier": "0195",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND BCBS",
            "identifier": "33713",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inara Fraser
• Suzanne Virginia Fray, MSW, LCSW
• Chad Frazier, OD
• Charles Earl Frazier Sr., MD
• Glenda Frazier, RN
• Natalie K Frazier, CNM
• Niakesha Frazier, PMHNP-BC, FNP-C
• Fred B Lopp DDS PA
• Caitlyn Marie Fredere, RDN, LDN
• Frederick a. Lupton III MD PA

• Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.