Fred Oliver De Frias, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19962 Issued in FL

Practice address

9731 SW 92ND Ter
Miami, FL 33176-1801

Phone

(305) 319-0607

NPI assigned

Dec 13, 2017

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Regis House, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1396847141

  Single Specialty

  NPD

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1710492665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 SW 92ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761801",
            "telephone_number": "305-319-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 SW 92ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761801",
            "telephone_number": "305-319-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FRIAS",
        "first_name": "FRED",
        "middle_name": "OLIVER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14352",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19962",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "FL",
            "license": "PMD517006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "IMH14352",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "MH19962",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Michael De Fazio, MD
• Ana R De Feria, DMD
• Katlein Paola De Franca, MD, PHD
• Daniella Carolina De Freitas
• Pedro Felipe Silva De Freitas, MD
• Jose De Goti Jr., DC
• Anita Virginia De Haan, RBT
• Beatriz De Haro Maylin
• Christopher De Haydu, MD
• Melody De Heusch Lara, DC

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.