MS. KIMBERLY DIANE FREDRICK LPC
NPI 1497450456
Counselor - Mental Health in Austin, TX

NPI Status: Active since March 31, 2023

Contact Information

4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX
ZIP 78759
Phone: (512) 843-7665

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Opted-Out Medicare

About KIMBERLY FREDRICK

This page provides the complete NPI Profile along with additional information for Kimberly Fredrick, a provider established in Austin, Texas with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1497450456 assigned on March 2023. The practitioner's primary taxonomy code is 101YM0800X with license number 12080 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1497450456
Provider Name
MS. KIMBERLY DIANE FREDRICK LPC
Gender
Female
Entity Type
Individual
Location Address
4807 SPICEWOOD SPRINGS RD STE 1140 AUSTIN, TX 78759
Location Phone
(512) 843-7665
Mailing Address
4807 SPICEWOOD SPRINGS RD STE 1140 AUSTIN, TX 78759
Mailing Phone
(512) 843-7665
Is Sole Proprietor?
No
Enumeration Date
03-31-2023
Last Update Date
03-31-2023
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A mental health counselor like Kimberly Fredrick provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Fredrick opted out of Medicare effective on 05-09-2024 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
12080
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-09-2024

  • Opt-Out End Date: 05-09-2026

  • Eligible to Order and Refer? No

Reviews for MS. KIMBERLY DIANE FREDRICK LPC

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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.
1497450456
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187850410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 5 + 0 + 4 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1497450456 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578835120 TERI SCHROEDER LCSW
Individual
Social Worker (Clinical)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1588725618MS. PATRICIA KATHLEEN WALKER MFT
Individual
Marriage & Family Therapist4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1154067411 CAITLIN JOSEPHINE SENGER LPC ASSOCIATE
Individual
Counselor (Professional)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1629714977 DANTE SALDANA II
Individual
Social Worker4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1982334389 MADISON WISE LPC-A
Individual
Counselor (Mental Health)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1922379429 LAURA RIFKIN BANKS LCSW
Individual
Social Worker (Clinical)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(402) 850-1775
1306623699MS. ANDREA CHAVEZ
Individual
Marriage & Family Therapist4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1477330843 DENISE JORGENSEN LPC
Individual
Counselor (Professional)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1700360625 PRIYANKA NADKARNI MSW
Individual
Counselor4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 866-4855
1669792180DR. MICHAEL SCOTT ALLEN PSY.D.
Individual
Psychologist (Clinical Child & Adolescent)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1366291577 ABIGAIL HALLELUJAH TESFAYE
Individual
Counselor (Mental Health)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665
1124861877 CLAUDIA ISABELLA LYON
Individual
Marriage & Family Therapist4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 866-4855
1952147100 MELODY CLARK
Individual
Social Worker (Clinical)4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759
(512) 843-7665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497450456, enumerated in the NPI registry as an "individual" on March 31, 2023

The provider is located at 4807 Spicewood Springs Rd Ste 1140 Austin, Tx 78759 and the phone number is (512) 843-7665

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

No, the provider signed an affidavit on May 09, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 09, 2026.

This NPI record was last updated on March 31, 2023. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.