Individual provider Active NPI

Ashley Frederick, LPC-S

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1669849287
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC#76761 Issued in TX
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

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 TX2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240506000329 TX Practitioner - Mental Health Counselor 8123468303 Reassigns benefits to 1 organization
I20240617004013 TX Practitioner - Mental Health Counselor 8123468303 Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC6046LAMDProfessional Counselor
LPC#76761TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 27, 2024 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

Verify at the official NPI Registry.