Individual provider Active NPI

Kandice K Fricke, LPC-S

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1942343272
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15089 Issued in TX
Practice address
3833 S Staples St
Suite N202
Corpus Christi, TX 78411-5201
Phone
(361) 844-8080
NPI assigned
Feb 15, 2007
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15089 TX Primary

Addresses

Primary practice location

3833 S Staples St
Suite N202
Corpus Christi, TX 78411-5201

Mailing address

3833 S Staples St
Suite N202
Corpus Christi, TX 78411-5201
Phone (361) 779-1921

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

State licenses

LicenseStateTypeSpecialty
15089TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kandice Fricke, PLLC Professional Current Accepting new patients
Psychological Associates of South Texas Professional Past Accepting new patients
Kandice Fricke-Smith, LPC Professional Past Accepting new patients

Locations

3833 S Staples St
Ste N202
Corpus Christi, TX 78411
Phone (361) 563-9293

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1942343272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "SUITE N202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-779-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST",
            "address_2": "SUITE N202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115201",
            "telephone_number": "361-844-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "KANDICE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.