KEVIN SCOTT FREDERICK LPC
NPI 1386145332
Counselor - Mental Health in Cleveland, GA

Q: What is Kevin Frederick's NPI number?

The NPI number for Kevin Frederick is 1386145332. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Q: What is Kevin Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Frederick was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 26, 2018

186 TESNATEE LANDING DR, CLEVELAND, GA 30528(912) 278-2729 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2022, Dec 12, 2021, Feb 26, 2018 (3 updates tracked since 2018).

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About Kevin Scott Frederick Lpc NPPES

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

KEVIN SCOTT FREDERICK LPC (NPI 1386145332) is an individual mental health provider in Cleveland, Georgia, licensed in Georgia (LPC012657) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1386145332

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN SCOTT FREDERICKCredential: LPC

Location Address186 TESNATEE LANDING DRCleveland, GA 30528-3874

Mailing Address186 Tesnatee Landing DrCleveland, GA 30528-3874 · (912) 278-2729

Phone(912) 278-2729

Sole ProprietorYes

Enumeration DateFebruary 26, 2018

Last NPPES UpdateJanuary 24, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1386145332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC012657

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

186 TESNATEE LANDING DR, Cleveland, GA 30528

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kevin Frederick's NPI number?

The NPI number for Kevin Frederick is 1386145332. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Kevin Frederick located?

Kevin Frederick practices at 186 Tesnatee Landing Dr, Cleveland, GA 30528. The listed phone number is (912) 278-2729.

What is Kevin 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 Kevin Frederick was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.