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TERRY FREDRICKSON
NPI 1962293795
Counselor - Professional in Pocatello, ID

Active since May 13, 2025
33 RIVERSIDE DR, POCATELLO, ID 83204(208) 604-3933 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2025, May 13, 2025 (2 updates tracked since 2025).

About Terry Fredrickson NPPES

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

TERRY FREDRICKSON (NPI 1962293795) is an individual professional provider in Pocatello, Idaho and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1962293795
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTERRY FREDRICKSON
Location Address33 RIVERSIDE DRPocatello, ID 83204-4025
Mailing Address101 S Main StPocatello, ID 83204-3210 · (208) 232-7807
Phone(208) 604-3933
Sole ProprietorYes
Enumeration DateMay 13, 2025
Last NPPES UpdateMay 24, 20252 updates tracked since enumeration
NPPES CertifiedMay 24, 2025
✔ NPI 1962293795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
33 RIVERSIDE DR, Pocatello, ID 83204
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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 Terry Fredrickson's NPI number?

The NPI number for Terry Fredrickson is 1962293795. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Terry Fredrickson located?

Terry Fredrickson practices at 33 Riverside Dr, Pocatello, ID 83204. The listed phone number is (208) 604-3933.

What is Terry Fredrickson's specialty?

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

When was this NPI record last updated?

The NPPES record for Terry Fredrickson was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.