Active NPI
Patricia Louise Frickson, MS
- Mental Health Counselor
- Polson, MT
National Provider Identifier
1891980090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 835
- Practice address
- 14TH Ave West
Suite 3
Polson, MT 59860 - Phone
- (406) 883-0098
- Fax
- (406) 883-0098
- NPI assigned
- Sep 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 835 | MT | Primary |
Addresses
Primary practice location
14TH Ave West
Suite 3
Polson, MT 59860
Mailing address
PO Box 658
Polson, MT 59860-0658
Phone (406) 883-0098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0250257 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1891980090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "POLSON",
"state": "MT",
"postal_code": "598600658",
"telephone_number": "406-883-0098",
"fax_number": "406-883-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14TH AVE WEST",
"address_2": "SUITE 3",
"city": "POLSON",
"state": "MT",
"postal_code": "59860",
"telephone_number": "406-883-0098",
"fax_number": "406-883-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKSON",
"first_name": "PATRICIA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0250257",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.