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CYNTHIA FREDERICKSEN
NPI 1205667235
Marriage & Family Therapist in Santa Barbara, CA

Active since August 12, 2024Opted out of Medicare · through Jan 26, 2028
30 W MISSION ST STE 5, SANTA BARBARA, CA 93101(805) 705-4317 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Fredericksen NPPES

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

CYNTHIA FREDERICKSEN (NPI 1205667235) is an individual marriage & family therapist in Santa Barbara, California, licensed in California (108440) and active in the NPI registry since August 2024. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1205667235
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCYNTHIA FREDERICKSEN
Location Address30 W MISSION ST STE 5Santa Barbara, CA 93101-0401
Mailing Address1006 Palmetto Way Apt DCarpinteria, CA 93013-2852 · (805) 705-4317
Phone(805) 705-4317
Sole ProprietorYes
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1205667235 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 · 108440
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.
30 W MISSION ST STE 5, Santa Barbara, CA 93101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Cynthia Fredericksen 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 January 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

RYAN GEORGE LMFT
Counselor (Mental Health)
30 W MISSION ST STE 5
SANTA BARBARA, CA 93101
Santa Barbara County (805) 265-3655

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 Cynthia Fredericksen's NPI number?

The NPI number for Cynthia Fredericksen is 1205667235. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Cynthia Fredericksen located?

Cynthia Fredericksen practices at 30 W Mission St Ste 5, Santa Barbara, CA 93101. The listed phone number is (805) 705-4317.

What is Cynthia Fredericksen's specialty?

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

Is Cynthia Fredericksen enrolled in Medicare?

No. Cynthia Fredericksen has opted out of Medicare through January 26, 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 Cynthia Fredericksen was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.