Sydney Fred, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81503 Issued in TX

Practice address

5068 W Plano Pkwy Ste 134
Plano, TX 75093-4440

Phone

(972) 985-7565

Fax

(469) 930-0417

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Management Resources

  • Substance Abuse Rehabilitation Facility
  • Plano, TX
  • NPI 1437255031
  NPD

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1417448952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 134",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934440",
            "telephone_number": "972-985-7565",
            "fax_number": "469-930-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 134",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934440",
            "telephone_number": "972-985-7565",
            "fax_number": "469-930-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRED",
        "first_name": "SYDNEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "81503",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "63696",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Fraser, PA
• Jaqueline Frausto
• Lewis Jacob Frazee, M.D.
• Carla Michelle Frazier, PA-C
• Meriwether Lewis Frazier Jr., M.D.
• Daryn Frederick, BCBA
• Erin Elizabeth Frederick, AGNP
• Angela Fredrickson, LSW
• Lisa Free
• Nicole Rufty Free, PHARMD

• Mental Health Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.