Gabriel David Frederick, LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001190 Issued in GA

Practice address

698 N Marietta Pkwy NE
Marietta, GA 30060-1585

Phone

(770) 919-9088

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1366724734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 N MARIETTA PKWY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601585",
            "telephone_number": "770-919-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 N MARIETTA PKWY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601585",
            "telephone_number": "770-919-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "GABRIEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001190",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Frazier, LCSW
• Timika Lashaun Frazier, D.C.
• Mary Amelia Frease, PHARMD
• Fred F Worrall, DDS, PC
• Bobby J Frederick, L.P.C.
• Jane A. Frederick, RN, MS,PHD
• Danielle Freeberg, R.T.(R)(ARRT)
• Susan Scott Freed, PT
• Peggy A Freedman, OTR/L
• Rick Freedman

• Marriage & Family Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; 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.