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COREY JORDAN FREDERICKS
NPI 1205509395
Counselor - School in Greensboro, NC

Active since July 26, 2021
1601 E MARKET ST, GREENSBORO, NC 27411(718) 798-1418 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey Jordan Fredericks NPPES

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

COREY JORDAN FREDERICKS (NPI 1205509395) is an individual school provider in Greensboro, North Carolina, licensed in North Carolina (3344567) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1205509395
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameCOREY JORDAN FREDERICKS
Location Address1601 E MARKET STGreensboro, NC 27411-0002
Mailing Address635 Arnow Ave Apt 2cBronx, NY 10467-7019 · (646) 260-2334
Phone(718) 798-1418
Sole ProprietorYes
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1205509395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in NC · 3344567
1601 E MARKET ST, Greensboro, NC 27411
Open in Google Maps ↗

Other Identifiers 1

Medicaid567DP244NC

Other Providers at the Same Location NPPES 10

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

DR. CHARLES EDWARD LOWNES SR. M.D.
Student in an Organized Health Care Education/Training Program
1601 E MARKET ST, NCAT STUDENT HEALTH CENTER
GREENSBORO, NC 27411
Guilford County (336) 334-7880
HANNAH WALKER MS, ATC
Specialist/Technologist (Athletic Trainer)
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (336) 398-8677
ALEIZA HIGGINS MSAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (757) 903-8092
DR. CAROLINE BOOTH
Counselor (Mental Health)
1601 E MARKET ST, 349 PROCTOR HALL
GREENSBORO, NC 27411
Guilford County (336) 334-7916
TISHERI M LEONARD MSAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (336) 398-8676
SAMMY K. NGETICH MA, LPC, NCC,
Counselor
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (336) 334-7727
LINNEA DAFNE KATSAROU LAT, ATC
Specialist/Technologist (Athletic Trainer)
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (336) 398-8672
EMMA MAKIN BURRESS IBCLC
Lactation Consultant, Non-RN
1601 E MARKET ST
GREENSBORO, NC 27411
Guilford County (336) 937-0257

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 Corey Fredericks's NPI number?

The NPI number for Corey Fredericks is 1205509395. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Corey Fredericks located?

Corey Fredericks practices at 1601 E Market St, Greensboro, NC 27411. The listed phone number is (718) 798-1418.

What is Corey Fredericks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Corey Fredericks was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.