LEERISA FREDERICK
NPI 1467911412
Counselor in Yukon, OK

Active since March 19, 2019
416 S MUSTANG RD STE B, YUKON, OK 73099(405) 494-0644 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Mar 9, 2023, Feb 8, 2022 and 1 more (4 updates tracked since 2019).

About Leerisa Frederick NPPES

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

LEERISA FREDERICK (NPI 1467911412) is an individual counselor in Yukon, Oklahoma, licensed in (10584) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1467911412
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLEERISA FREDERICK
Location Address416 S MUSTANG RD STE BYukon, OK 73099-7314
Mailing Address416 S Mustang Rd Ste BYukon, OK 73099-7314 · (405) 448-6163
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateDecember 8, 20234 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1467911412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed · 10584
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.

416 S MUSTANG RD STE B, Yukon, OK 73099

Accepted Insurance

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.

Counselor (Mental Health)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor (Professional)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor (Professional)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor (Mental Health)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor (Mental Health)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor (Mental Health)
416 S MUSTANG RD STE B
YUKON, OK 73099
Counselor
416 S MUSTANG RD STE B
YUKON, OK 73099

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 Leerisa Frederick's NPI number?

The NPI number for Leerisa Frederick is 1467911412. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Leerisa Frederick located?

Leerisa Frederick practices at 416 S Mustang Rd Ste B, Yukon, OK 73099. The listed phone number is (405) 494-0644.

What is Leerisa Frederick's specialty?

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

What insurance does Leerisa Frederick accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Leerisa 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 Leerisa Frederick was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.