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

Active since February 12, 2010Opted out of Medicare · through Apr 9, 2028
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: August 09, 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. She has opted out of Medicare through April 9, 2028.

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
Phone(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
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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, 2028.

Opt-Out Effective DateApril 9, 2024
Opt-Out In Effect ThroughApril 9, 2028Opt-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.

AMANDA BETH CAMPBELL LMFT
Marriage & Family Therapist
1009B SOLANO AVE
ALBANY, CA 94706
Alameda County (510) 499-2691
THE CENTER FOR EARLY CHILDHOOD CONNECTIONS
Community/Behavioral Health
1009B SOLANO AVE
ALBANY, CA 94706
Alameda County (510) 508-6016
NERIVALDO CESAR SANTOS NERIVALDO
Marriage & Family Therapist
1009B SOLANO AVE
ALBANY, CA 94706
Alameda County (510) 508-7484
MARIA ANGELICA ZABIN
Social Worker (Clinical)
1009B SOLANO AVE
BERKELEY, CA 94706
Alameda County (510) 438-1996

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 Susan Fredrickson's NPI number?

The NPI number for Susan Fredrickson is 1174855399. It was assigned to this individual provider in the NPPES registry on February 12, 2010.

Where is Susan Fredrickson located?

Susan Fredrickson practices at 1009B Solano Ave, Albany, CA 94706. The listed phone number is (510) 526-6672.

What is Susan Fredrickson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Susan Fredrickson enrolled in Medicare?

No. Susan Fredrickson has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Fredrickson was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.