Carmen Sue Frederick

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

137137 Issued in KY

Practice address

731 Speckman Road
Louisville, KY 40243

Phone

(502) 817-4084

NPI assigned

Dec 3, 2018

Sex

Female

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

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1376013342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 LANDIS LAKES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453972",
            "telephone_number": "502-817-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SPECKMAN ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40243",
            "telephone_number": "502-817-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CARMEN",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "137137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Frazier, RBT
• Alexis Paige Frazine
• Fred Look, P.S.C., D.M.D.
• Timothy Freda, PHARMD
• Amanda Joleen Frederick, SLP
• Carrie Anna Frederick, APRN
• Emily Kirchner Frederick, PHARM.D.
• Jennifer Lee Frederick, CRNA
• Tonya Frederick
• Cody Thomas Frederiksen

• Counseling Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Counseling Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.