MISS RESA FREDERICK M.ED, NCC, LPC
NPI 1376813022
Counselor in Mantachie, MS

Q: What is Resa Frederick's NPI number?

The NPI number for Resa Frederick is 1376813022. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Q: What is Resa Frederick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Resa Frederick was last updated on November 28, 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.

Active since January 11, 2012

720 OAK GROVE RD, MANTACHIE, MS 38855(662) 687-5994 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Resa Frederick M.ed, Ncc, Lpc NPPES

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

MISS RESA FREDERICK M.ED, NCC, LPC (NPI 1376813022) is an individual counselor in Mantachie, Mississippi, licensed in Mississippi (2052) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1376813022

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMISS RESA FREDERICKCredential: M.ED, NCC, LPC

Location Address720 OAK GROVE RDMantachie, MS 38855-8469

Mailing Address720 Oak Grove RdMantachie, MS 38855-8469 · (662) 687-5994

Phone(662) 687-5994

Sole ProprietorYes

Enumeration DateJanuary 11, 2012

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1376813022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MS · 2052

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

720 OAK GROVE RD, Mantachie, MS 38855

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

EXTRA MILE RECOVERY, LLC

Substance Abuse Rehabilitation Facility

720 OAK GROVE RD
MANTACHIE, MS 38855

Itawamba County (662) 246-2946

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 Resa Frederick's NPI number?

The NPI number for Resa Frederick is 1376813022. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Resa Frederick located?

Resa Frederick practices at 720 Oak Grove Rd, Mantachie, MS 38855. The listed phone number is (662) 687-5994.

What is Resa Frederick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Resa Frederick accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Resa Frederick 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 Resa Frederick was last updated on November 28, 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.