Fred Thomas Lee, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

179 Issued in WV

Practice address

3194 Core Rd
Parkersburg, WV 26104-1556

Phone

(304) 485-5185

Fax

(304) 485-0051

NPI assigned

Jun 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Counseling House, LLCGroup PAC ID 2567544687, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fred.lee.1@30546.direct.athenahealth.com

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.

• The Counseling House, LLC

  • Nurse Practitioner
  • Parkersburg, WV
  • NPI 1104973809

  Psychologist

  Medicare reassignment Care Compare group NPD
• Ohio Valley Behavioral Health, PLLC

  • Psychologist
  • Vienna, WV
  • NPI 1801959291
  NPD (past) Authorized official
• GR&W, Inc

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  NPD (past)
• Integrated Geriatric Care PLLC

  • Geriatric Psychiatry Physician
  • Parkersburg, WV
  • NPI 1396797825

  Clinical

  NPD (past)
• Psychotherapy Partners PLLC

  • Psychologist
  • Vienna, WV
  • NPI 1235137753
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1619972767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041556",
            "telephone_number": "304-485-5185",
            "fax_number": "304-485-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041556",
            "telephone_number": "304-485-5185",
            "fax_number": "304-485-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FRED",
        "middle_name": "THOMAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5576",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619972767",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla M Leasure
• Jennifer L Leavitt, D.O.
• Priscilla F Leavitt, PHD
• Gabriella Elizabeth Lebo, CARE COORDINATOR
• Donna Marie Lee
• Kirk Legar, OTR/L
• Madaline Jo Leggett, BEHAVIORAL TECH
• Casey Legraen, PA-C
• Paula M Leidy
• Tina Marie Leisure

• Psychologist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.