Trisha Lynn Frederick, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1027-226 Issued in WI

Practice address

12690 W. North Ave.
Building C
Brookfield, WI 53005-4605

Phone

(262) 785-1008

Fax

(262) 785-0644

NPI assigned

May 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Trisha Lynn Gauerke Former name

Medicare fee-for-service enrollment

Enrolled in WI

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christian Life Counseling LLCGroup PAC ID 8325046162, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Christian Life Counseling LLC

  • Clinical Psychologist
  • Brookfield, WI
  • NPI 1659466860
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1487947578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12690 W. NORTH AVE.",
            "address_2": "BUILDING C",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054605",
            "telephone_number": "262-785-1008",
            "fax_number": "262-785-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12690 W. NORTH AVE.",
            "address_2": "BUILDING C",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054605",
            "telephone_number": "262-785-1008",
            "fax_number": "262-785-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TRISHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1027-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "GAUERKE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shane Frank
• Suzie J Franklin, PHD
• Jill Fraundorf, P.T.
• William D Frazer-Collins, LPC
• Lindy Marie Frechette, MS, CCC-SLP
• Freeman Leick Physical Therapy
• Andrew Jacob Freeman, LCSW, CSAC
• Cynthia M Freeman
• Zariah L Freeman
• Marilyn A Freund, APNP

• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.