MATTHEW FRED (NPI# 1346512589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346512589 |
| Entity Type | Individual |
| Full Name | MATTHEW FRED |
| Credential | M.S., CRC |
| Practice Address |
2135 W Ramada Ln Carbondale IL 62901-5326 |
| Practice Telephone | 6184573318 |
| Practice Fax Number | 6185490132 |
| Mailing Telephone | 6184573318 |
| Mailing Fax Number | 6185490132 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CRC | 00112331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831235860 | Matthew Ross Fred | Internal Medicine | 175 Madison Avenue, Virtua Memorial Hospital, Mt. Holly, NJ 08060 | 2007-01-29 |
| Street Address |
2135 W RAMADA LN |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148988 | Ada Elizabeth Vieceli | Counselor | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2006-10-17 |
| 1326347121 | Bonnie T Vaughn | Counselor | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2011-03-18 |
| 1760622682 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935775 | Kelly Sue Willenborg | Rehabilitation Counselor | 300 Sur Woods Dr, Effingham, IL 62401-3113 | 2018-09-12 |
| 1053809293 | Richard Albert Price | Rehabilitation Counselor | 1924 Melrose Dr Apt C, Champaign, IL 61820-2048 | 2018-04-24 |
| 1558643718 | Gail L Russell | Rehabilitation Counselor | 1003 S Westlawn Ave, Champaign, IL 61821-4412 | 2011-09-14 |
| 1689955486 | Candice Letha Sarver | Rehabilitation Counselor | 210 Brady Ln, Urbana, IL 61802-4604 | 2011-09-07 |
| 1275813040 | Eric Miller | Rehabilitation Counselor | 207 1/2 N Busey Ave, Urbana, IL 61801-3116 | 2011-08-24 |
| 1598054975 | Meagan Nicole Quigley | Rehabilitation Counselor | 505 N Douglas St, Villa Grove, IL 61956-1032 | 2011-04-06 |
| 1407153182 | Jessica L Foley | Rehabilitation Counselor | 804 W Vine St, Champaign, IL 61820-2825 | 2011-02-16 |
| 1679878037 | Benjamin Joseph Unander | Rehabilitation Counselor | 1401 Glenshire Dr, Champaign, IL 61822-7701 | 2011-01-17 |
| 1073816203 | Jazmin Pazmino | Rehabilitation Counselor | 1801 Valley Rd, A, Champaign, IL 61820-7143 | 2010-12-09 |
| 1831409432 | Candis Kim | Rehabilitation Counselor | 3310 Sharp Dr., Champaign, IL 61822 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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| 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.