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MR. FREDERICK JEFFERSON LPC, CADC
NPI 1881332955
Counselor - Mental Health in Bellwood, IL

Active since May 26, 2022
1034 30TH AVE, BELLWOOD, IL 60104(708) 328-0193 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Feb 18, 2025, May 26, 2022 (3 updates tracked since 2022).

About Mr. Frederick Jefferson Lpc, Cadc NPPES

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

MR. FREDERICK JEFFERSON LPC, CADC (NPI 1881332955) is an individual mental health provider in Bellwood, Illinois, licensed in Illinois (178017761) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1881332955
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. FREDERICK JEFFERSONCredential: LPC, CADC
Location Address1034 30TH AVEBellwood, IL 60104-2442
Mailing Address1034 30th AveBellwood, IL 60104-2442 · (708) 328-0193
Phone(708) 328-0193
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1881332955 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 IL · 178017761
1034 30TH AVE, Bellwood, IL 60104
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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 Frederick Jefferson's NPI number?

The NPI number for Frederick Jefferson is 1881332955. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Frederick Jefferson located?

Frederick Jefferson practices at 1034 30th Ave, Bellwood, IL 60104. The listed phone number is (708) 328-0193.

What is Frederick Jefferson'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 Frederick Jefferson was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.