Organization Active NPI

Jenn Fredette Psychotherapy LLC

Doing business as Therapy for Thinkers

  • Counselor
  • Elkridge, MD
National Provider Identifier
1366126104
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
JENN FREDETTE PSYCHOTHERAPY LLC
Doing business as
Therapy for Thinkers
Practice address
7860 Milkshed PL
Elkridge, MD 21075-6130
Phone
(301) 509-9768
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Ms. Jennifer Fredette, MA, M.DIV, LCPCNPI 1912367806
Title
Owner
Phone
(301) 509-9768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

7860 Milkshed PL
Elkridge, MD 21075-6130

Mailing address

7860 Milkshed PL
Elkridge, MD 21075-6130
Phone (301) 509-9768

Other names 1

  • Therapy for Thinkers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1366126104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 MILKSHED PL",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756130",
            "telephone_number": "301-509-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 MILKSHED PL",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756130",
            "telephone_number": "301-509-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENN FREDETTE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "FREDETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-509-9768",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, M.DIV, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy for Thinkers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.