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SHELLEY CANNON FREDERICK
NPI 1558072165
Art Therapist in El Paso, TX

Active since December 06, 2022
2496 RICKER ROAD, EL PASO, TX 79916(915) 742-9558(915) 742-2363 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelley Cannon Frederick NPPES

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

SHELLEY CANNON FREDERICK (NPI 1558072165) is an individual art therapist in El Paso, Texas, licensed in North Carolina (17-043) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1558072165
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameSHELLEY CANNON FREDERICK
Location Address2496 RICKER ROADEl Paso, TX 79916
Mailing Address2496 Ricker RoadEl Paso, TX 79916 · (915) 742-9558 · Fax (915) 742-2363
Phone(915) 742-9558
Fax(915) 742-2363
Sole ProprietorYes
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1558072165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
License✔ Licensed in NC · 17-043
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
2496 RICKER ROAD, El Paso, TX 79916
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Other Providers at the Same Location NPPES

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

DR. HEIDI M FRANCIS M.D
Family Medicine
2496 RICKER ROAD
EL PASO, TX 79916
El Paso County (915) 742-2206

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 Shelley Frederick's NPI number?

The NPI number for Shelley Frederick is 1558072165. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Shelley Frederick located?

Shelley Frederick practices at 2496 Ricker Road, El Paso, TX 79916. The listed phone number is (915) 742-9558.

What is Shelley Frederick's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

When was this NPI record last updated?

The NPPES record for Shelley Frederick was last updated on December 6, 2022. 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.