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HEATHER EILEEN FREDERICK
NPI 1366877920
Counselor - Mental Health in Waterloo, NY

Active since September 13, 2013
31 THURBER DR, WATERLOO, NY 13165(315) 539-1980 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Eileen Frederick NPPES

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

HEATHER EILEEN FREDERICK (NPI 1366877920) is an individual mental health provider in Waterloo, New York, licensed in New York (007551) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1366877920
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER EILEEN FREDERICK
Location Address31 THURBER DRWaterloo, NY 13165-1649
Mailing Address129 Cayuga StSeneca Falls, NY 13148-1117
Phone(315) 539-1980
Sole ProprietorNo
Enumeration DateSeptember 13, 2013
Last NPPES UpdateOctober 28, 2016
✔ NPI 1366877920 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 NY · 007551
31 THURBER DR, Waterloo, NY 13165
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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.

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 Heather Frederick's NPI number?

The NPI number for Heather Frederick is 1366877920. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Heather Frederick located?

Heather Frederick practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.

What is Heather 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 Heather Frederick was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.