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

Mrs. Kristen Mae Frederico, LPCC

Individual provider Professional Counselor · NPI 1851040315

Mrs. Kristen Mae Frederico, LPCC is a Mental Health Counselor in Fairborn, Ohio. Qualified in 2023, 3 years ago. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1825 Commerce Center Blvd
Fairborn, OH 45324-6336
Phone: (937) 879-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2505678 (OH)
Counselor Taxonomy 101Y00000X · Licence C.2305185 (OH)

Record details

NPI number1851040315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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