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TRACEY FREDERIKSEN MC
NPI 1093961708
Counselor - Mental Health in Prescott, AZ

Active since August 13, 2008
2228 LAKEWOOD DR, PRESCOTT, AZ 86301(928) 583-2580 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Frederiksen Mc NPPES

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

TRACEY FREDERIKSEN MC (NPI 1093961708) is an individual mental health provider in Prescott, Arizona, licensed in Arizona (LAC-11878) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1093961708
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACEY FREDERIKSENCredential: MC
Location Address2228 LAKEWOOD DRPrescott, AZ 86301-4476
Mailing Address2228 Lakewood DrPrescott, AZ 86301-4476
Phone(928) 583-2580
Sole ProprietorYes
Enumeration DateAugust 13, 2008
✔ NPI 1093961708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-11878
2228 LAKEWOOD DR, Prescott, AZ 86301
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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 Tracey Frederiksen's NPI number?

The NPI number for Tracey Frederiksen is 1093961708. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Tracey Frederiksen located?

Tracey Frederiksen practices at 2228 Lakewood Dr, Prescott, AZ 86301. The listed phone number is (928) 583-2580.

What is Tracey Frederiksen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tracey Frederiksen was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.