Jessica Kulik Frederick, LCDC III, QMHS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.192304 Issued in OH

Practice address

838 Coburn St
Akron, OH 44311-1459

Phone

(330) 434-4141

NPI assigned

Apr 10, 2024

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica M Kulik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Drug Board, Inc

  dba CHC Addiction Services

  • Family Medicine Physician
  • Akron, OH
  • NPI 1871204081
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1679326532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 COBURN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111459",
            "telephone_number": "330-434-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 COBURN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111459",
            "telephone_number": "330-434-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JESSICA",
        "middle_name": "KULIK",
        "credential": "LCDC III, QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.192304",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KULIK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fred W Albrecht Grocery Co (Acme Pharmacy)
• Fred W Albrecht Grocery Co (Acme Pharmacy)
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• Fred W Albrecht Grocery Co (Acme Pharmacy)
• Fred W Albrecht Grocery Co (Acme Pharmacy)
• Madeline Frederick, CGC
• Megan Elizabeth Frederick
• Kayla Marie Fredey
• Taylor Michael Fredrickson, MD
• Taylor Lindsay Willis Free

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.