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OLUCHIDIEBUBE FREDERICK
NPI 1083366603
Counselor in Clarksville, TN

Active since January 25, 2022
775 WEATHERLY DR STE F, CLARKSVILLE, TN 37043(877) 641-1155(615) 320-1177 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 25, 2022 (2 updates tracked since 2022).

About Oluchidiebube Frederick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUCHIDIEBUBE FREDERICK (NPI 1083366603) is an individual counselor in Clarksville, Tennessee and active in the NPI registry since January 2022. She maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1083366603
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameOLUCHIDIEBUBE FREDERICK
Location Address775 WEATHERLY DR STE FClarksville, TN 37043-8915
Mailing Address775 Weatherly Dr Ste FClarksville, TN 37043-8915 · (877) 641-1155 · Fax (615) 320-1177
Phone(877) 641-1155
Fax(615) 320-1177
Sole ProprietorNo
Enumeration DateJanuary 25, 2022
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1083366603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
775 WEATHERLY DR STE F, Clarksville, TN 37043
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Secondary Practice Location 1

Location 1933 Tracy Ln Ste DClarksville, TN 37040-6894 · Phone (931) 444-1066

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA PRAETE LCSW
Social Worker (Clinical)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (931) 494-7131
JULIE TRESSLER LCSW
Social Worker (Clinical)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 320-1155
BRANDY CAUTHEN DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 320-1155
BROOKE KYNDELL BRYANT APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 320-1155
LAURIE LYNN CHESSER LCSW
Social Worker (Clinical)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (877) 641-1155
EMILY ELLISON RHOADS MS, LPC-MHSP
Counselor (Mental Health)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (877) 641-1155
MS. AMY ELIZABETH SUMMERS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 320-1155
JENNIFER LYNN LYMAN MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
775 WEATHERLY DR STE F
CLARKSVILLE, TN 37043
Montgomery County (615) 320-1155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluchidiebube Frederick's NPI number?

The NPI number for Oluchidiebube Frederick is 1083366603. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Oluchidiebube Frederick located?

Oluchidiebube Frederick practices at 775 Weatherly Dr Ste F, Clarksville, TN 37043. The listed phone number is (877) 641-1155.

What is Oluchidiebube Frederick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Oluchidiebube Frederick was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.