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SAMANTHA FREDERICKS
NPI 1114665239
Counselor - Mental Health in New York, NY

Active since May 27, 2022
299 BROADWAY STE 1115, NEW YORK, NY 10007(646) 250-8212 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, May 27, 2022 (2 updates tracked since 2022).

About Samantha Fredericks NPPES

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

SAMANTHA FREDERICKS (NPI 1114665239) is an individual mental health provider in New York, New York, licensed in New York (18-P123411-01) and active in the NPI registry since May 2022. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1114665239
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA FREDERICKS
Location Address299 BROADWAY STE 1115New York, NY 10007-1901
Mailing Address20 River Ter Apt 19bNew York, NY 10282-1215 · (646) 250-8212
Phone(646) 250-8212
Sole ProprietorNo
Enumeration DateMay 27, 2022
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1114665239 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 NY · 18-P123411-01
299 BROADWAY STE 1115, New York, NY 10007
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Secondary Practice Location 1

Location 1234 Thompson St Apt 21New York, NY 10012-1345 · Phone (814) 602-8817

Other Providers at the Same Location NPPES 6

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

EMILY FARR
Social Worker
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC
Social Worker (Clinical)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
SACHI AKSHAYSINH GOHIL
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
SHIRLEY DAYANA SEGARRA MHC-LP
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
ALEXANDRA KAROL
Social Worker (Clinical)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212
GABRIELA BAQUERO HENAO
Counselor (Mental Health)
299 BROADWAY STE 1115
NEW YORK, NY 10007
New York County (646) 250-8212

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 Samantha Fredericks's NPI number?

The NPI number for Samantha Fredericks is 1114665239. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Samantha Fredericks located?

Samantha Fredericks practices at 299 Broadway Ste 1115, New York, NY 10007. The listed phone number is (646) 250-8212.

What is Samantha Fredericks'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 Samantha Fredericks was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.