Active NPI
Ashley Frederick, LPC-S
- Professional Counselor
- Kingwood, TX
National Provider Identifier
1669849287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC#76761
- Practice address
- 1525 Lakeville Dr Ste 107
Kingwood, TX 77339-2068 - Phone
- (832) 640-9121
- Fax
- (281) 348-0819
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC6046 | LA | |
| Professional Counselor | 101YP2500X | LPC#76761 | TX | Primary |
Addresses
Primary practice location
1525 Lakeville Dr Ste 107
Kingwood, TX 77339-2068
Mailing address
3714 Wood Dale Dr
Kingwood, TX 77345-1111
Phone (337) 842-7489
Other practice location 1
700 Milam St Ste 1300
Houston, TX 77002-2736
Phone (281) 801-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC6046 | LA | MD | Professional Counselor |
| LPC#76761 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1669849287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 WOOD DALE DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451111",
"telephone_number": "337-842-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LAKEVILLE DR STE 107",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392068",
"telephone_number": "832-640-9121",
"fax_number": "281-348-0819"
}
],
"practiceLocations": [
{
"address_1": "700 Milam St Ste 1300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770022736",
"country_code": "US",
"telephone_number": "281-801-8391",
"fax_number": "954-480-1784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREDERICK",
"first_name": "ASHLEY",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC6046",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "LPC#76761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.