MARTHA FREDERICK
NPI 1255895645
Counselor - Mental Health in Gulfport, MS

Active since January 30, 2019
1600 BROAD AVE, GULFPORT, MS 39501(228) 865-1719(228) 865-1780 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha Frederick NPPES

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

MARTHA FREDERICK (NPI 1255895645) is an individual mental health provider in Gulfport, Mississippi and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1255895645
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARTHA FREDERICK
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing Address1600 Broad AveGulfport, MS 39501-3603 · (228) 865-1719 · Fax (228) 865-1780
Fax(228) 865-1780
Sole ProprietorNo
Enumeration DateJanuary 30, 2019
NPI 1255895645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1600 BROAD AVE, Gulfport, MS 39501

Other Providers at the Same Location NPPES 20

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

Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501

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 Martha Frederick's NPI number?

The NPI number for Martha Frederick is 1255895645. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Martha Frederick located?

Martha Frederick practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 865-1719.

What is Martha Frederick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Martha Frederick was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.