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

Fred Allen Edson Jr.

Individual provider Peer Specialist · NPI 1174370159

Fred Allen Edson Jr. is a Peer Specialist in Oklahoma City, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone: (405) 424-7711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1174370159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Other providers in Oklahoma City