Active NPI
Frederick Sean Redeker, LPC, CI, NCC
- Professional Counselor
- Austin, TX
National Provider Identifier
1467774281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63653
- Practice address
- 12335 Hymeadow Dr
Suite 450
Austin, TX 78750-1934 - Phone
- (512) 799-7348
- NPI assigned
- Feb 20, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63653 | TX | Primary |
Addresses
Primary practice location
12335 Hymeadow Dr
Suite 450
Austin, TX 78750-1934
Mailing address
12335 Hymeadow Dr
Suite 450
Austin, TX 78750-1934
Phone (512) 799-7348
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 |
|---|---|---|---|
| 63653 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1467774281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12335 HYMEADOW DR",
"address_2": "SUITE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501934",
"telephone_number": "512-799-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12335 HYMEADOW DR",
"address_2": "SUITE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501934",
"telephone_number": "512-799-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDEKER",
"first_name": "FREDERICK",
"middle_name": "SEAN",
"credential": "LPC, CI, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-20",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.