Kenneth L. Frederick, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1560 Issued in FL

Practice address

1925 S Perimeter Rd
Suite 120
Ft Lauderdale, FL 33309-7122

Phone

(954) 958-0988

Fax

(954) 958-3527

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841406188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 NE 169TH ST APT 303",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603210",
            "telephone_number": "954-958-0988",
            "fax_number": "954-958-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 S PERIMETER RD",
            "address_2": "SUITE 120",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333097122",
            "telephone_number": "954-958-0988",
            "fax_number": "954-958-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Fraser, PH.D.
• Rochelle Fray
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• Fabio Stefano Frech, MD
• Darcie J Freddolino
• Kristine Free, LPN
• Jonathan Freed, D.D.S.,P.A.
• Peter Freedland, MD
• Freedom Medical Services Inc (Freedomed)
• Freedom Mind and Body Counseling LLC

• Marriage & Family Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.