Active NPI
Courtney Frerichs, LMHC
- Mental Health Counselor
- Fort Dodge, IA
National Provider Identifier
1407967524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00881
- Practice address
- 409 Kenyon Rd Ste C
Fort Dodge, IA 50501-5718 - Phone
- (515) 573-3138
- Fax
- (515) 573-3130
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00881 | IA | Primary |
Addresses
Primary practice location
409 Kenyon Rd Ste C
Fort Dodge, IA 50501-5718
Mailing address
7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844
Phone (515) 251-4900
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 |
|---|---|---|---|
| 00881 | IA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Service | Past | Accepting new patients |
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.
-
- Voluntary or Charitable Agency
- Fort Dodge, IA
- NPI 1316059496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1407967524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 HICKMAN RD STE 3",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503224844",
"telephone_number": "515-251-4900",
"fax_number": "515-251-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 KENYON RD STE C",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015718",
"telephone_number": "515-573-3138",
"fax_number": "515-573-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRERICHS",
"first_name": "COURTNEY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.