Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jon Frederick, PHD, LPC

Individual provider Professional Counselor · NPI 1326634759

Dr. Jon Frederick, PHD, LPC is a Mental Health Counselor in Denver, Colorado. Qualified in 2020, 6 years ago. Practices with Polaris Partners Counseling and Consulting LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

155 S Madison St Ste 306
Denver, CO 80209-3014
Phone: (725) 867-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1326634759
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC
Sole proprietorNo
NPI enumeratedDecember 20, 2020
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address3020 W 107th Pl Unit E, Westminster, CO 80031-7719

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Polaris Partners Counseling And Consulting Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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