Individual provider Active NPI

Kimberly Fredericks, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1982033643
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003571 Issued in PA
Practice address
3895 Adler PL Ste 180
Bethlehem, PA 18017-8994
Phone
(484) 542-5058
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00321300 NJ
Professional Counselor 101YP2500X PC003571 PA Primary

Addresses

Primary practice location

3895 Adler PL Ste 180
Bethlehem, PA 18017-8994

Mailing address

3895 Adler PL Ste 180
Bethlehem, PA 18017-8994
Phone (484) 542-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 7, 2024 through Nov 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00321300NJMDProfessional Counselor
PC003571PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Wellness LLC Professional Current Accepting new patients

Locations

3895 Adler Pl
Ste 180
Bethlehem, PA 18017
Phone (610) 867-4669

Organizations & group practices 1

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1982033643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 ADLER PL STE 180",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178994",
            "telephone_number": "484-542-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 ADLER PL STE 180",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178994",
            "telephone_number": "484-542-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00321300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.