Individual provider Active NPI

Eric Frodsham

  • Mental Health Counselor
  • Del Valle, TX
National Provider Identifier
1982390910
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C11130 Issued in OR
Practice address
1300 Man-O-War Dr.
Del Valle, TX 78617
Phone
(785) 371-9366
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21519 NC
Mental Health Counselor 101YM0800X C11130 OR Primary
Mental Health Counselor 101YM0800X 80398 TX
Professional Counselor 101YP2500X 80398 TX

Addresses

Primary practice location

1300 Man-O-War Dr.
Del Valle, TX 78617

Mailing address

1300 Man-O-War Dr.
Del Valle, TX 78617
Phone (785) 371-9366

Other practice location 1

11740 SW Parkway
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260421003188 OR Practitioner - Mental Health Counselor 8426580119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21519NCMDMental Health Counselor
C11130ORMDMental Health Counselor
80398TXMDAudiologist

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1982390910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAN-O-WAR DR.",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "785-371-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAN-O-WAR DR.",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "785-371-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 SW Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972239058",
            "country_code": "US",
            "telephone_number": "971-352-6971",
            "fax_number": "971-352-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRODSHAM",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "21519",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C11130",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80398",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Valle, TX

Sources for this page

Verify at the official NPI Registry.