Active NPI
Laura Marcela Fredes, MD
- Psychiatry Physician
- Southlake, TX
National Provider Identifier
1376033779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- V0394
- Practice address
- 536 Silicon Dr Ste 102
Southlake, TX 76092-9020 - Phone
- (817) 203-4179
- Fax
- (934) 944-2465
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | V0394 | TX | Primary |
| Psychiatry Physician | 2084P0800X | 325225 | NY | |
| Psychiatry Physician | 2084P0800X | 0101278966 | VA |
Addresses
Primary practice location
536 Silicon Dr Ste 102
Southlake, TX 76092-9020
Mailing address
1017 La Salle LN
Southlake, TX 76092-1368
Phone (646) 808-9186
Other names 1
- Mrs. Laura Marcela Adrianzen Florez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1017 La Salle LN
Southlake, TX 76092-1368
590 N Kimball Ave
Suite 100
Southlake, TX 76092-6878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325225 | NY | MD | Licensed Practical Nurse |
| V0394 | TX | MD | Psychiatry Physician |
| 0101278966 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind & Med PLLC | Single Specialty | Current | Accepting new patients |
Locations
536 Silicon Dr
Ste 102
Southlake, TX 76092
Phone (817) 203-4179
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1376033779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 LA SALLE LN",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921368",
"telephone_number": "646-808-9186",
"fax_number": "934-944-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 SILICON DR STE 102",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929020",
"telephone_number": "817-203-4179",
"fax_number": "934-944-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDES",
"first_name": "LAURA",
"middle_name": "MARCELA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "V0394",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "325225",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101278966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ADRIANZEN FLOREZ",
"middle_name": "MARCELA",
"prefix": "MRS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.