SAMANTHA NICOLE FREDMAN
NPI 1831714450
Counselor in San Francisco, CA

Q: What is Samantha Fredman's NPI number?

The NPI number for Samantha Fredman is 1831714450. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Q: What is Samantha Fredman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Fredman was last updated on December 8, 2021. 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.

Active since June 09, 2020

2198 CAYUGA AVE, SAN FRANCISCO, CA 94112(415) 859-5299(408) 510-3484 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Jul 6, 2020, Jun 9, 2020 (3 updates tracked since 2020).

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About Samantha Nicole Fredman NPPES

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

SAMANTHA NICOLE FREDMAN (NPI 1831714450) is an individual counselor in San Francisco, California and active in the NPI registry since June 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831714450

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMANTHA NICOLE FREDMAN

Location Address2198 CAYUGA AVESan Francisco, CA 94112-4023

Mailing Address470 Duncan StSan Francisco, CA 94131-1925 · (425) 443-8658

Phone(415) 859-5299

Fax(408) 510-3484

Sole ProprietorYes

Enumeration DateJune 9, 2020

Last NPPES UpdateDecember 8, 20213 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1831714450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2198 CAYUGA AVE, San Francisco, CA 94112

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Secondary Practice Locations 2

Location 12600 SW Holden StSeattle, WA 98126-3505 · Phone (206) 933-7000

Location 21700 Airport Way SSeattle, WA 98134-1618 · Phone (206) 223-3644

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

JOVIMAY DAMIAN BANEZ

Community Health Worker