Katelynn Frederickson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

902 Grinde Dr
Fountain, CO 80817-1752

Phone

(718) 702-9019

NPI assigned

Jan 9, 2025

Sex

Female

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

Practice roles

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.

• Nexus Counseling Services

  • Professional Counselor
  • Fountain, CO
  • NPI 1174377857
  NPD (past)
• Nexus Counseling Services

  • Professional Counselor
  • Fountain, CO
  • NPI 1861198566
  NPD (past)
• Sandstone Care Cos, LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1053933135
  NPD (past)

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1881404283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 GRINDE DR",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171752",
            "telephone_number": "718-702-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GRINDE DR",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171752",
            "telephone_number": "718-702-9019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Fontaine Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809112110",
            "country_code": "US",
            "telephone_number": "719-388-3558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 University Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183678",
            "country_code": "US",
            "telephone_number": "719-249-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5731 N Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183684",
            "country_code": "US",
            "telephone_number": "719-445-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "KATELYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountain Valley Health Care LLC (Fountain Valley Behavioral Health)
• Fountain Valley Health Care LLC
• Xavier Amir Fountain
• Cassandra Fox-Oatman
• Heather L Frazier, PHARM.D.
• Joseph Jack Fredrick, PHARMD
• David Freeman, MA NCC
• Front Range Urgent Care, Inc
• Front Range Urgent Care, Inc. (QwikCare MD)
• Isaac Michael Fuwell

• Counselor in Fountain, CO
• Providers in Fountain, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.