SUSAN D. FREDRICKSON LMFT
NPI 1174855399
Marriage & Family Therapist in Albany, CA

Active since February 12, 2010
1009B SOLANO AVE, ALBANY, CA 94706(510) 526-6672 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan D. Fredrickson Lmft NPPES

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

SUSAN D. FREDRICKSON LMFT (NPI 1174855399) is an individual marriage & family therapist in Albany, California, licensed in California (MFC30627) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1174855399
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN D. FREDRICKSONCredential: LMFT
Location Address1009B SOLANO AVEAlbany, CA 94706-1617
Mailing Address1009b Solano AveAlbany, CA 94706-1617 · (510) 526-6672
Sole ProprietorYes
Enumeration DateFebruary 12, 2010
NPI 1174855399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC30627
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1009B SOLANO AVE, Albany, CA 94706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Susan D. Fredrickson Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2024 through April 9, 2026.

Opt-Out Effective DateApril 9, 2024
Opt-Out In Effect ThroughApril 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
1009B SOLANO AVE
ALBANY, CA 94706
Community/Behavioral Health
1009B SOLANO AVE
ALBANY, CA 94706
Marriage & Family Therapist
1009B SOLANO AVE
ALBANY, CA 94706
Social Worker (Clinical)
1009B SOLANO AVE
BERKELEY, CA 94706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174855399, enumerated as an "individual" on February 12, 2010.

The provider is located at 1009B SOLANO AVE ALBANY, CA 94706 and the phone number is (510) 526-6672.

Marriage & Family Therapist with taxonomy code 106H00000X.