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

Shae Frederick

Individual provider Mental Health Counselor · NPI 1912765785

Shae Frederick is a Mental Health Counselor in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.

Licensed in
NE
In the registry since
2024

Practice location Address checks out

11204 Davenport St
Omaha, NE 68154-2658
Phone: (402) 356-3332
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 13663 (NE)

Record details

NPI number1912765785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

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