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CARRELL OCTAVIA FREDERICK LCMHC
NPI 1780046565
Counselor - Mental Health in Concord, NC

Active since March 22, 2016
301 MEDICAL PARK DR, STE 202B, CONCORD, NC 28025(704) 403-2626 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Mar 22, 2016 (2 updates tracked since 2016).

About Carrell Octavia Frederick Lcmhc NPPES

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

CARRELL OCTAVIA FREDERICK LCMHC (NPI 1780046565) is an individual mental health provider in Concord, North Carolina, licensed in North Carolina (12060) and active in the NPI registry since March 2016. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1780046565
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARRELL OCTAVIA FREDERICKCredential: LCMHC
Location Address301 MEDICAL PARK DR, STE 202BConcord, NC 28025-2981
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-2626
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
✔ NPI 1780046565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 12060
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 12060 (NC)
301 MEDICAL PARK DR, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Location 1

Location 12608 E 7th St, Ste BCharlotte, NC 28204-4375 · Phone (704) 403-2626

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 13

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

MRS. SUZANNE S MCHARGUE MASSAGE THERAPIST
Specialist
301 MEDICAL PARK DR, NORTHEAST INTERNAL AND INTEGRATIVE MEDICINE
CONCORD, NC 28025
Cabarrus County (704) 403-7050
FAMILY COUNSELING CENTER
Social Worker (Clinical)
301 MEDICAL PARK DR, SUITE 202-B
CONCORD, NC 28025
Cabarrus County (704) 403-2692
CAROLINAS MEDICAL CENTER-NORTHEAST
Pediatrics (Developmental - Behavioral Pediatrics)
301 MEDICAL PARK DR, SUITE 202B
CONCORD, NC 28025
Cabarrus County (704) 403-2626
MRS. SHANNON LYNN BARTLETT MSW, LCSWA
Social Worker (Clinical)
301 MEDICAL PARK DR, SUITE 202-B
CONCORD, NC 28025
Cabarrus County (704) 403-2692
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Pediatrics (Developmental - Behavioral Pediatrics)
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Cabarrus County (704) 403-2626
KEELY DELORES BALDWIN-SOLES LCMHC
Counselor (Mental Health)
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Cabarrus County (704) 403-2626
MONIQUE SUTTON NP
Nurse Practitioner
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Cabarrus County (704) 403-2626
KIMBER ASHLEY MORK LCSW
Social Worker
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Cabarrus County (704) 403-2626

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 Carrell Frederick's NPI number?

The NPI number for Carrell Frederick is 1780046565. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Carrell Frederick located?

Carrell Frederick practices at 301 Medical Park Dr Ste 202B, Concord, NC 28025. The listed phone number is (704) 403-2626.

What is Carrell Frederick's specialty?

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

What insurance does Carrell Frederick accept?

Health plans from Blue Cross and Blue Shield of NC list Carrell Frederick 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 Carrell Frederick was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.