RYAN M FREDERICK LPC
NPI 1902096498
Counselor - Professional in Lowell, AR

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment
515 ENTERPRISE DR 300, LOWELL, AR 72745(479) 717-7626(479) 717-7627 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan M Frederick Lpc NPPES

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

RYAN M FREDERICK LPC (NPI 1902096498) is an individual professional provider in Lowell, Arkansas, licensed in Arkansas (P1509105) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902096498
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRYAN M FREDERICKCredential: LPC
Location Address515 ENTERPRISE DR 300Lowell, AR 72745-8982
Mailing Address515 Enterprise Dr 300Lowell, AR 72745-8982 · (479) 717-7626 · Fax (479) 717-7627
Fax(479) 717-7627
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 31, 2007
Last NPPES UpdateOctober 1, 2015
NPI 1902096498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P1509105
515 ENTERPRISE DR 300, Lowell, AR 72745

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan M Frederick Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092024968
PECOS Enrollment IDI20240418001646
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.

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 Ryan Frederick's NPI number?

The NPI number for Ryan Frederick is 1902096498. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Ryan Frederick located?

Ryan Frederick practices at 515 Enterprise Dr 300, Lowell, AR 72745. The listed phone number is (479) 717-7626.

What is Ryan Frederick's specialty?

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

Is Ryan Frederick enrolled in Medicare?

Yes. Ryan Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Frederick accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Ryan 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 Ryan Frederick was last updated on October 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.