Active NPI
Nicole Frederick
- Music Therapist
- Dorchester, MA
National Provider Identifier
1720586928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 33 Eastman St
Dorchester, MA 02125-2210 - Phone
- (617) 831-5584
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | ||
| Music Therapist | 225A00000X | MA | Primary |
Addresses
Primary practice location
33 Eastman St
Dorchester, MA 02125-2210
Mailing address
33 Eastman St
Dorchester, MA 02125-2210
Phone (617) 831-5584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 17, 2026 through Apr 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resonance Collective Counseling, LLC | Mental Health | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Boston, MA
- NPI 1134079874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1720586928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 EASTMAN ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252210",
"telephone_number": "617-831-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 EASTMAN ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252210",
"telephone_number": "617-831-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
- Frank T M Nghiem D.M.D.,P.C
- Frank Y. Shin, DMD, PC
- Ricardo Franks, BS / HUMAN SERVICES
- Taylor Jade Frazzette, OTR/L
- James Frederick, DPT
- Najmah Iyana Freeman
- Sarah Rita Freeman
- Fresenius Medical Care Carney, LLC (BMA Boston Carney)
- Fresh Food Generation LLC (Fresh Food Generation)
- Alexis Nicole Frobin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.