LISSETTE D FREDERICK LPC
NPI 1316712151
Counselor - Professional in Frederick, CO

Q: What is Lissette Frederick's NPI number?

The NPI number for Lissette Frederick is 1316712151. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Q: What is Lissette Frederick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since November 21, 2023PECOS Enrolled

5995 IRIS PKWY, FREDERICK, CO 80504(303) 697-2583(303) 833-6515 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lissette D Frederick Lpc NPPES

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

LISSETTE D FREDERICK LPC (NPI 1316712151) is an individual professional provider in Frederick, Colorado, licensed in Colorado (LPC.0019840) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316712151

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISSETTE D FREDERICKCredential: LPC

Location Address5995 IRIS PKWYFrederick, CO 80504-6412

Mailing Address203 S Rollie AveFort Lupton, CO 80621-1508 · (303) 892-6401 · Fax (303) 286-4589

Phone(303) 697-2583

Fax(303) 833-6515

Sole ProprietorNo

Enumeration DateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1316712151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0019840

5995 IRIS PKWY, Frederick, CO 80504

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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 (PECOS)

Lissette D Frederick Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

ELIZABETH FRIAS LCSW-LAC

Social Worker (Clinical)