ASHLEY FREDERICKS
NPI 1336797224
Counselor - Mental Health in St Petersburg, FL

Active since September 03, 2019Opted out of Medicare · through Apr 1, 2028
1735 30TH AVE N UNIT 1/2, ST PETERSBURG, FL 33713(970) 365-3802 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Jul 11, 2023, Sep 3, 2019 (3 updates tracked since 2019).

About Ashley Fredericks NPPES

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

ASHLEY FREDERICKS (NPI 1336797224) is an individual mental health provider in St Petersburg, Florida, licensed in Colorado (1336797224) and active in the NPI registry since September 2019. She has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1336797224
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHLEY FREDERICKS
Location Address1735 30TH AVE N UNIT 1/2St Petersburg, FL 33713-4156
Mailing Address4795 Signal Rock RdColorado Springs, CO 80922-1625
Sole ProprietorYes
Enumeration DateSeptember 3, 2019
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1336797224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CO · 1336797224
1735 30TH AVE N UNIT 1/2, St Petersburg, FL 33713

Secondary Practice Location 1

Location 14905 N Union BlvdColorado Springs, CO 80918-4063 · Phone (970) 364-3802

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ashley Fredericks 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Ashley Fredericks's NPI number?

The NPI number for Ashley Fredericks is 1336797224. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Ashley Fredericks located?

Ashley Fredericks practices at 1735 30th Ave N Unit 1/2, St Petersburg, FL 33713. The listed phone number is (970) 365-3802.

What is Ashley Fredericks's specialty?

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

Is Ashley Fredericks enrolled in Medicare?

No. Ashley Fredericks has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ashley Fredericks accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Ashley Fredericks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Fredericks was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.