DR. FREDERICK JACOB REDEKOP (NPI# 1740329838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740329838 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK JACOB REDEKOP |
| Credential | PH.D., LPC |
| Practice Address |
201 N 4th Ave Royersford PA 19468-1952 |
| Mailing Address |
2311 Diamond Pl Royersford PA 19468-2279 |
| Practice Telephone | 6109480393 |
| Mailing Telephone | 6103016454 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC004968 | PA | Behavioral Health & Social Service Providers |
| Street Address |
201 N 4TH AVE |
| City | ROYERSFORD |
| State | PA |
| Zip Code | 19468-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770095564 | Renee Joan Cardone | Social Worker | 201 N 4th Ave, Royersford, PA 19468-1952 | 2017-11-01 |
| 1366801912 | Sarah Schnatter | Counselor | 201 N 4th Ave, Royersford, PA 19468-1952 | 2016-02-10 |
| 1083998694 | Amanda L. Williams | Counselor | 201 N 4th Ave, Suite 101, Royersford, PA 19468-1952 | 2011-09-30 |
| 1376833962 | Andrea A Charlesworth | Counselor | 201 N 4th Ave, Royersford, PA 19468-1952 | 2011-04-15 |
| 1124297197 | Spring-ford Counseling Services | Counselor | 201 N 4th Ave, Suite 101, Royersford, PA 19468-1952 | 2008-02-25 |
| 1023214830 | Judith Ann Musselman | Counselor | 201 N 4th Ave, Royersford, PA 19468-1952 | 2007-06-27 |
| 1306041298 | Joyce Rafidi-tatum | Psychologist | 201 N 4th Ave, Suite 101, Royersford, PA 19468-1952 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942797535 | Phycare Asc, LLC | Clinic/Center | 475 Enterprise Drive, Suite 100, Royersford, PA 19468 | 2018-04-18 |
| 1427563840 | Blake Edward Tressler | Chiropractor | 332 West Ridge Pike, Limerick, PA 19468 | 2017-12-07 |
| 1235653205 | Ability Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 410 W Linfield Trappe Rd Ste 110, Royersford, PA 19468 | 2017-08-01 |
| 1083136907 | Jason Mahesh Sampat | Dentist | 8 White Crow Circle, Royersford, PA 19468 | 2017-07-12 |
| 1770012130 | Andre Omar Hewitt | Counselor | 1210 Foxmeadow Dr, Royersford, PA 19468 | 2017-06-08 |
| 1255879359 | Christina Lee | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468 | 2017-02-09 |
| 1083068571 | Lauren Zanikos | Dietitian, Registered | Bodymetrix Health and Wellness Services, 403 W. Ridge Pike, Limerick, PA 19468 | 2016-04-20 |
| 1386006708 | Chetan Nayak | Physical Therapist | 216 Lakeview Drive, 216, Royersford, PA 19468 | 2016-03-24 |
| 1053777037 | Komal Sampat | Dentist | Ambler Dental Care, 602 South Bethlehem Pike, C2, Ambler, PA 19468 | 2016-01-06 |
| 1902261332 | Tracey L Gunther | Behavioral Analyst | 296 W Riige Pike Ste 205, Limerick, PA 19468 | 2015-12-30 |
| Find all providers in zip 19468 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841702826 | Gary R Major Sr. | Counselor | 30 Major Rd, Royersford, PA 19468-1111 | 2017-10-30 |
| 1124297197 | Spring-ford Counseling Services | Counselor | 201 N 4th Ave, Suite 101, Royersford, PA 19468-1952 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810781 | Marina Kogot James | Counselor | 123 New St, Glenside, PA 19038-4511 | 2020-10-30 |
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1245838309 | Karen Cowell | Counselor | 220 Redfield Dr, Oakdale, PA 15071-1732 | 2020-10-12 |
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1366057135 | Meg Barnes | Counselor | 3501 Forbes Ave # 9, Pittsburgh, PA 15213-3317 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | ROYERSFORD |
| Zip Code | 19468 |
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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.