Individual provider Active NPI

Ashley Fedrick I, LPC

  • Mental Health Counselor
  • West Lake Hills, TX
National Provider Identifier
1407284300
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
69147 Issued in TX
Practice address
3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
Phone
(512) 632-6448
NPI assigned
Oct 31, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 69147 TX Primary

Addresses

Primary practice location

3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682

Mailing address

3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
Phone (512) 632-6448

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

LicenseStateTypeSpecialty
69147TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1407284300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 508",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-632-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 508",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-632-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDRICK",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.