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TRENTON D FEDRICK
NPI 1497312516
Counselor - Addiction (Substance Use Disorder) in Tulsa, OK

Active since May 23, 2019
550 S PEORIA AVE, TULSA, OK 74120(918) 588-1900 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trenton D Fedrick NPPES

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

TRENTON D FEDRICK (NPI 1497312516) is an individual addiction (substance use disorder) provider in Tulsa, Oklahoma, licensed in Illinois (14583) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1497312516
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTRENTON D FEDRICK
Location Address550 S PEORIA AVETulsa, OK 74120-3820
Mailing Address6500 N Glenwood Ave Apt 103Chicago, IL 60626-5154 · (773) 386-4833
Phone(918) 588-1900
Sole ProprietorYes
Enumeration DateMay 23, 2019
✔ NPI 1497312516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 14583
550 S PEORIA AVE, Tulsa, OK 74120
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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.

ANNA CHRISTINE SOBOL RD
Dietitian, Registered
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 382-2221
KASEY RENEE CLABORN MS
Psychologist (Clinical)
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900
RUDNEY DANQUAH-SANDERS PH.D.
Psychologist (Clinical)
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900
MRS. CARRIE NICHELLE CASEBOLT BSN, RN
Registered Nurse (Case Management)
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900
ASHLEY LAUREN ROBERTS LPN
Licensed Practical Nurse
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900
ELIZABETH ANNE DUNCKLEE LCSW
Social Worker (Clinical)
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 382-1229
VICKIE LYNN LEE D.PH.
Pharmacist
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900
ERIN NICOLE STREET M.A.
Psychologist (Clinical)
550 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 588-1900

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 Trenton Fedrick's NPI number?

The NPI number for Trenton Fedrick is 1497312516. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Trenton Fedrick located?

Trenton Fedrick practices at 550 S Peoria Ave, Tulsa, OK 74120. The listed phone number is (918) 588-1900.

What is Trenton Fedrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Trenton Fedrick was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.