BRADLEY J EDWARD FRERICKS CPRS
NPI 1063200434
Peer Specialist in Cincinnati, OH

NPI Status: Active since April 28, 2025

Contact Information

8044 MONTGOMERY RD STE 120
CINCINNATI, OH
ZIP 45236
Phone: (513) 600-0693
Fax: (888) 832-2040

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  • Individual
  • Male
  • Peer Specialist

About BRADLEY FRERICKS

This page provides the complete NPI Profile along with additional information for Bradley Frericks, a provider established in Cincinnati, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1063200434 assigned on April 2025. The practitioner's primary taxonomy code is 175T00000X with license number APS.006133 (OH). The provider is registered as an individual and his NPI record was last updated April 2025.

NPI
1063200434
Provider Name
BRADLEY J EDWARD FRERICKS CPRS
Gender
Male
Entity Type
Individual
Location Address
8044 MONTGOMERY RD STE 120 CINCINNATI, OH 45236
Location Phone
(513) 600-0693
Location Fax
(888) 832-2040
Mailing Address
8044 MONTGOMERY RD STE 120 CINCINNATI, OH 45236
Mailing Phone
(513) 600-0693
Mailing Fax
(888) 832-2040
Is Sole Proprietor?
No
Enumeration Date
04-28-2025
Last Update Date
04-28-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
APS.006133
License State
OH
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063200434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012340046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 0 + 0 + 4 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1063200434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043018955MR. ANSON FRERICKS CFPS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 600-0694
1073303509 JAMIE RALSTON-TEMESVARY
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1104616689 KELLY CHAMBERS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 600-0694
1417747809 JENNIFER ELIZABETH REAM LPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1467242057 BARTON BELLAMAH
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1528858149 GODJUST ETTER CPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1588482442 AMBER MICHELLE SCOTT
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1831989268 JEFFREY ALAN WATTS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1962292458MRS. SUSAN R HENRY
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1972393247MS. LEANNE DANELLE BURKS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1982494506MR. MATTHEW RAY COSTELOW
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(270) 571-8887
1013708833 AMY HOWELL CPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1093506438 ANGELA D GREENE CHW, CPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(614) 778-3367
1356132260 SUSAN THAYER PETERSON CPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1457191884 JENNIFER LYNNE IPSEN CPRS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1487341137 MARGO BURWELL-DAVIS
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1780492777MR. COLLIN WOLFE RUDDELL
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1295527257MRS. SHARON SUE MCCUTCHEN PRS AND OCPSA
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1427841568 AISSA MCVICKER
Individual
Peer Specialist8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 607-5128
1568260479RADLEY HEALTH INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))8044 MONTGOMERY RD STE 120
CINCINNATI, OH 45236
(513) 600-0694

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063200434, enumerated in the NPI registry as an "individual" on April 28, 2025

The provider is located at 8044 Montgomery Rd Ste 120 Cincinnati, Oh 45236 and the phone number is (513) 600-0693

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on April 28, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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