Johnie Dean Fredman, PSYD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4469 Issued in OK

Practice address

905 E Wilson St
Shawnee, OK 74804-4165

Phone

(405) 214-0116

Fax

(877) 334-8552

NPI assigned

Dec 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Mental Health Services, LLCGroup PAC ID 9739420019, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Focus Mental Health Services, LLC

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1851658959
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1427388313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33007 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043429",
            "telephone_number": "405-214-0116",
            "fax_number": "877-334-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E WILSON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044165",
            "telephone_number": "405-214-0116",
            "fax_number": "877-334-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDMAN",
        "first_name": "JOHNIE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael C Francisco, M.D.
• Audra Jane Frank
• Joshua Robert Frank
• Brendan L Franks, M.S.
• Jane Frazier
• Tiffany Freeman
• Jaylee M Friend
• Bridgett Shyann Frizzell
• Jacquelyn Deann Fry, PHARMD
• Kendra Fugate

• Professional Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.

Verify at the official NPI Registry.