MRS. MARTI HARRIS FREDERICKS LMFT
NPI 1215107065
Marriage & Family Therapist in Stockton, CA

Q: What is Marti Fredericks's NPI number?

The NPI number for Marti Fredericks is 1215107065. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Q: What is Marti Fredericks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marti Fredericks was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 07, 2008PECOS EnrolledAccepts Medicare Assignment

5361 N PERSHING AVE STE H, STOCKTON, CA 95207(209) 477-9177(209) 477-4667 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Marti Harris Fredericks Lmft NPPES

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

MRS. MARTI HARRIS FREDERICKS LMFT (NPI 1215107065) is an individual marriage & family therapist in Stockton, California, licensed in California (M13967) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1215107065

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. MARTI HARRIS FREDERICKSCredential: LMFT

Location Address5361 N PERSHING AVE STE HStockton, CA 95207-5450

Mailing Address5361 N Pershing Ave Ste HStockton, CA 95207-5450 · (209) 477-9177 · Fax (209) 477-4667

Phone(209) 477-9177

Fax(209) 477-4667

Sole ProprietorNo

Medical School CMSOtherGraduated 1974

Enumeration DateMarch 7, 2008

✔ NPI 1215107065 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 · M13967

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.

5361 N PERSHING AVE STE H, Stockton, CA 95207

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Marti Harris Fredericks Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274025366

PECOS Enrollment IDI20251125004101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

LAURA C TORRES MPH

Counselor (Mental Health)