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FREDRICK WILSON
NPI 1609396233
Counselor - Mental Health in Shreveport, LA

Active since June 24, 2017
4601 N MARKET ST, SHREVEPORT, LA 71107(318) 424-8735(318) 424-8739 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 24, 2017 (2 updates tracked since 2017).

About Fredrick Wilson NPPES

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

FREDRICK WILSON (NPI 1609396233) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1609396233
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFREDRICK WILSON
Location Address4601 N MARKET STShreveport, LA 71107-2971
Mailing AddressPo Box 5Rodessa, LA 71069-0005 · (318) 223-4665
Phone(318) 424-8735
Fax(318) 424-8739
Sole ProprietorYes
Enumeration DateJune 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1609396233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4601 N MARKET ST, Shreveport, LA 71107
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Other Providers at the Same Location NPPES 7

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

QUASEAN NICHOLSON MENTAL HEALTH SPECIA
Case Manager/Care Coordinator
4601 N MARKET ST, STE. 2
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
GUADALUPE HILLIARD
Case Manager/Care Coordinator
4601 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
KELLI CARTER
Case Manager/Care Coordinator
4601 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
VALTAVIA COLLINS
Counselor (Mental Health)
4601 N MARKET ST, STE 2
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
LAMAR SANDERS
Case Manager/Care Coordinator
4601 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
MRS. TIA YOUNG
Case Manager/Care Coordinator
4601 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735
JAMES TIMS
Case Manager/Care Coordinator
4601 N MARKET ST
SHREVEPORT, LA 71107
Caddo Parish (318) 424-8735

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 Fredrick Wilson's NPI number?

The NPI number for Fredrick Wilson is 1609396233. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Fredrick Wilson located?

Fredrick Wilson practices at 4601 N Market St, Shreveport, LA 71107. The listed phone number is (318) 424-8735.

What is Fredrick Wilson'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 Fredrick Wilson was last updated on July 21, 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.