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MRS. KRISTEN MAE FREDERICO LPCC
NPI 1851040315
Counselor - Professional in Fairborn, OH

Active since March 22, 2022PECOS Enrolled
1825 COMMERCE CENTER BLVD, FAIRBORN, OH 45324(937) 879-3400 Get Directions Write a Review

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

About Mrs. Kristen Mae Frederico Lpcc NPPES

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

MRS. KRISTEN MAE FREDERICO LPCC (NPI 1851040315) is an individual professional provider in Fairborn, Ohio, licensed in Ohio (E.2505678) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851040315
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KRISTEN MAE FREDERICOCredential: LPCC
Location Address1825 COMMERCE CENTER BLVDFairborn, OH 45324-6336
Mailing Address8940 Kingsridge Dr Ste 106Dayton, OH 45458-1632 · (937) 813-4485
Phone(937) 879-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 22, 2022
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1851040315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2505678
Also ListedCounselorTaxonomy 101Y00000X · License C.2305185 (OH)
1825 COMMERCE CENTER BLVD, Fairborn, OH 45324
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Mae Frederico Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719478288
PECOS Enrollment IDI20251112002023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

KAITLYN MCCORMACK
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
ANDREW FEIGHT
Peer Specialist
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
MATTHEW KINDELL
Counselor (Addiction (Substance Use Disorder))
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
NATHAN TIMMERMAN
Student in an Organized Health Care Education/Training Program
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
RACHEL PETERSON
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
CODA MCMULLEN
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
MACKENZIE HENRY
Student in an Organized Health Care Education/Training Program
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
RENEE ELLIOTT
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700

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 Kristen Frederico's NPI number?

The NPI number for Kristen Frederico is 1851040315. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Kristen Frederico located?

Kristen Frederico practices at 1825 Commerce Center Blvd, Fairborn, OH 45324. The listed phone number is (937) 879-3400.

What is Kristen Frederico's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristen Frederico enrolled in Medicare?

Yes. Kristen Frederico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Frederico was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.