MISS CAROLYN MARIE FREDRICK (NPI# 1336262963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336262963 |
| Entity Type | Individual |
| Full Name | MISS CAROLYN MARIE FREDRICK |
| Credential | LPC |
| Practice Address |
4609 Charlotte St Kansas City MO 64110-1521 |
| Practice Telephone | 8165070582 |
| Practice Fax Number | 8165617457 |
| Mailing Telephone | 8165070582 |
| Mailing Fax Number | 8165617457 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2002001642 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4609 CHARLOTTE ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64110-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1053803510 | Humanity Homecare LLC | In Home Supportive Care | 1734 E 63rd St Ste 208, Kansas City, MO 64110 | 2018-05-31 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1578003984 | 1st Action Home Health LLC | In Home Supportive Care | 1734 E 63rd St Ste 407, Kansas City, MO 64110 | 2017-03-03 |
| 1316212285 | Leah Karma Probasco-burns | Counselor | 633 E 63rd St Ste 230, Kansas City, MO 64110 | 2012-03-12 |
| 1093088007 | Amanda Kinsey | Speech-Language Pathologist | 4848 Woodland Ave, Kansas City, MO 64110 | 2012-02-22 |
| 1952612673 | Braxton Baker | Speech-Language Pathologist | 4341 Locust St, Kansas City, MO 64110 | 2010-06-28 |
| 1902031529 | Candice A Robinson Law | Optometrist | Brookside Eye Care Center, 520 E 63rd Street, Kansas City, MO 64110 | 2009-05-27 |
| 1942446232 | School District of Kansas City, Missouri | Clinic/Center | 4747 Flora, Kansas City, MO 64110 | 2008-12-17 |
| Find all providers in zip 64110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255382 | Lindsey June Orlowski | Counselor | 3216 Gillham Rd, Suite 210, Kansas City, MO 64109 | 2020-01-28 |
| 1447800875 | Galen Bahadoorsingh | Counselor | 4010 Washington St Ste 505, Kansas City, MO 64111-2610 | 2019-09-17 |
| 1689227324 | Matthew Elbridge Langston | Counselor | 3211 Woodland Ave., Kansas City, MO 64109 | 2019-07-22 |
| 1205395928 | Brian James Mcmahon | Counselor | 2942 Wabash Ave, Kansas City, MO 64109-2170 | 2019-03-13 |
| 1013471937 | Shannon Moss | Counselor | 2515 Lexington Ave, Kansas City, MO 64124-1638 | 2019-01-24 |
| 1043792237 | Samantha Welty | Counselor | 2000 Olathe Blvd, Mailstop 4004, Kansas City, KS 66160-8505 | 2018-09-04 |
| 1598250821 | Ada L Hedger | Counselor | 1201 Nw Briarcliff Pkwy Ste 256, Kansas City, MO 64116-1878 | 2018-06-28 |
| 1497267082 | Denise Marie Naggi | Counselor | 3626 Charlotte St, Kansas City, MO 64109-2636 | 2017-11-03 |
| 1972012276 | James Casey Mcpheeters | Counselor | 9901 N Harrison Dr, Kansas City, MO 64155-2064 | 2017-09-29 |
| 1649798950 | Kimberly Renee Brtton | Counselor | 751 E 63rd St Ste 209, Kansas City, MO 64110-3385 | 2017-09-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64110 |
Please comment or provide details below to improve the information on MISS CAROLYN MARIE FREDRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.