FREDRIC DARNELL BLOCKER LPC
NPI 1639570039
Counselor - Professional in Fayetteville, GA
About Fredric Darnell Blocker Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDRIC DARNELL BLOCKER LPC (NPI 1639570039) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC007643) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Fredric Darnell Blocker Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Fredric Blocker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
Durham, NC 27701
- Reassigned Medicare billing, Georgia enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
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 Fredric Blocker's NPI number?
The NPI number for Fredric Blocker is 1639570039. It was assigned to this individual provider in the NPPES registry on September 4, 2014.
Where is Fredric Blocker located?
Fredric Blocker practices at 110 Habersham Dr Ste 116, Fayetteville, GA 30214. The listed phone number is (770) 946-2312.
What is Fredric Blocker's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fredric Blocker enrolled in Medicare?
Yes. Fredric Blocker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Fredric Blocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fredric Blocker reassigns Medicare benefits to 2 organizations: Heavenly Therapeutic Services LLC (Fayetteville, GA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fredric Blocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fredric Blocker accept?
Health plans from CareSource and Oscar Health list Fredric Blocker 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 Fredric Blocker was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Fredric Darnell Blocker, LPC · NPI 1639570039
Professional provider in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since September 4, 2014.
## Identity
- **NPI:** 1639570039 (Entity type: Individual)
- **Enumerated:** September 4, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC007643 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 HABERSHAM DR, STE 116, Fayetteville, GA 30214-1381
- **Phone:** (770) 946-2312
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Heavenly Therapeutic Services LLC (NPI 1184025587, Fayetteville, GA); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 4, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1639570039) · Data from the CMS NPPES public registry.