Active NPI
Edward S Frickson, L.P.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1376640375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP3213
- Practice address
- 311 Ramsey St
Saint Paul, MN 55102-2323 - Phone
- (651) 283-4874
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP3213 | MN | Primary |
Addresses
Primary practice location
311 Ramsey St
Saint Paul, MN 55102-2323
Mailing address
7894 23Rd St N
Oakdale, MN 55128-5145
Phone (651) 283-4874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3213 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1376640375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7894 23RD ST N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285145",
"telephone_number": "651-283-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 RAMSEY ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022323",
"telephone_number": "651-283-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKSON",
"first_name": "EDWARD",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP3213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.