KEITH FREDERIC TLPC-MHSP
NPI 1730992645
Counselor - Mental Health in Memphis, TN

Q: What is Keith Frederic's NPI number?

The NPI number for Keith Frederic is 1730992645. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Keith Frederic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Keith Frederic was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since January 27, 2025

5587 MURRAY AVE STE 205, MEMPHIS, TN 38119(901) 501-7119 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keith Frederic Tlpc-mhsp NPPES

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

KEITH FREDERIC TLPC-MHSP (NPI 1730992645) is an individual mental health provider in Memphis, Tennessee, licensed in Tennessee (6792) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1730992645

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEITH FREDERICCredential: TLPC-MHSP

Location Address5587 MURRAY AVE STE 205Memphis, TN 38119-0896

Mailing Address6952 Parkbrook LnCordova, TN 38018-7936 · (901) 501-7119

Phone(901) 501-7119

Sole ProprietorYes

Enumeration DateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1730992645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TN · 6792

5587 MURRAY AVE STE 205, Memphis, TN 38119

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Other Providers at the Same Location NPPES 4

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

SAMARA CENTER, PLLC

Social Worker (Clinical)

5587 MURRAY AVE STE 205
MEMPHIS, TN 38119

Shelby County (310) 879-5554

E3 COMMUNITY HEALTH/ ENGAGE. EDUCATE. EMPOWER. COMMUNITY HEALTH

Community/Behavioral Health

5587 MURRAY AVE STE 205
MEMPHIS, TN 38119

Shelby County (901) 729-9767

BRISA S SAMUDIO LCSW

Counselor (Mental Health)

5587 MURRAY AVE STE 205
MEMPHIS, TN 38119

Shelby County (310) 879-5554

SAMARA FOUNDATION

Social Worker

5587 MURRAY AVE STE 205
MEMPHIS, TN 38119

Shelby County (901) 729-9767

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 Keith Frederic's NPI number?

The NPI number for Keith Frederic is 1730992645. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Keith Frederic located?

Keith Frederic practices at 5587 Murray Ave Ste 205, Memphis, TN 38119. The listed phone number is (901) 501-7119.

What is Keith Frederic'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 Keith Frederic was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.