Active NPI
Kimberly Fredericks, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1982033643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00321300 | NJ | MD | Professional Counselor |
| PC003571 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Bethlehem, PA
- NPI 1639657075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.