MS. KIMBERLY DIANE FREDRICK LPC
NPI 1497450456
Counselor - Mental Health in Austin, TX
About Ms. Kimberly Diane Fredrick Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY DIANE FREDRICK LPC (NPI 1497450456) is an individual mental health provider in Austin, Texas, licensed in Texas (12080) and active in the NPI registry since March 2023. She has opted out of Medicare through May 9, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Kimberly Diane Fredrick Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2024 through May 9, 2028.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78759
AUSTIN, TX 78759
AUSTIN, TX 78759
AUSTIN, TX 78759
AUSTIN, TX 78759
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 Kimberly Fredrick's NPI number?
The NPI number for Kimberly Fredrick is 1497450456. It was assigned to this individual provider in the NPPES registry on March 31, 2023.
Where is Kimberly Fredrick located?
Kimberly Fredrick practices at 4807 Spicewood Springs Rd Ste 1140, Austin, TX 78759. The listed phone number is (512) 843-7665.
What is Kimberly Fredrick's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Fredrick enrolled in Medicare?
No. Kimberly Fredrick has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kimberly Fredrick was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Kimberly Diane Fredrick, LPC · NPI 1497450456
Mental Health provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1497450456 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12080 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4807 SPICEWOOD SPRINGS RD STE 1140, Austin, TX 78759-8479
- **Phone:** (512) 843-7665
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 9, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497450456) · Data from the CMS NPPES public registry.