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

Jaclyn Carol Fredriksen, PHD, LMHC, LMFT

Individual provider Mental Health Counselor · NPI 1710654777

Jaclyn Carol Fredriksen, PHD, LMHC, LMFT is a Mental Health Counselor in Cherry Valley, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Practice location Address checks out

3212 County Highway 31
Cherry Valley, NY 13320-3702
Phone: (607) 677-4052
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 012161 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 002156 (NY)

Record details

NPI number1710654777
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LMHC , LMFT
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 1, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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