Active NPI
Bryan Cesar Fregoso
- School Counselor
- Pocatello, ID
National Provider Identifier
1447138094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 921 S 8TH Ave
Pocatello, ID 83209-0001 - Phone
- (208) 932-5251
- NPI assigned
- Aug 22, 2025
- Last updated
- Aug 22, 2025
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | Primary |
Addresses
Primary practice location
921 S 8TH Ave
Pocatello, ID 83209-0001
Mailing address
393 Kimberly Dr
Idaho Falls, ID 83401-3821
Phone (208) 932-5251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 S 11TH Ave
Suite 400
Pocatello, ID 83201-4880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1447138094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 KIMBERLY DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834013821",
"telephone_number": "208-932-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S 8TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832090001",
"telephone_number": "208-932-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREGOSO",
"first_name": "BRYAN",
"middle_name": "CESAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.