Individual provider Active NPI

Katie Frederick

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1891492054
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704013810 Issued in VA
Practice address
2807 N Parham Rd
Richmond, VA 23294-4410
Phone
(804) 387-7519
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704013810 VA Primary

Addresses

Primary practice location

2807 N Parham Rd
Richmond, VA 23294-4410

Mailing address

8769 Hughesland Rd
Mechanicsville, VA 23116-2900
Phone (804) 387-7519

Other practice location 1

9501 Hull Street Rd Ste C1
North Chesterfield, VA 23236-1474
Phone (804) 387-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219000431 VA Practitioner - Mental Health Counselor 4082141783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Focus IncGroup PAC ID 6608125836, 7 clinicians

Practice addresses (Care Compare)

2807 N Parham Rd
Suite 300
Henrico, VA 23294-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704013810VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Focus, LLC CurrentSince Nov 1, 2024 Accepting new patients
Family Focus, LLC Mental Health PastSince Aug 27, 2023 Accepting new patients

Locations

2807 N Parham Rd
Ste 300
Richmond, VA 23294
Phone (804) 261-2090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1891492054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 HUGHESLAND RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162900",
            "telephone_number": "804-387-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944410",
            "telephone_number": "804-387-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9501 Hull Street Rd Ste C1",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232361474",
            "country_code": "US",
            "telephone_number": "804-387-7519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.