Jaclyn Fredriksen, PH.D., LMHC, LMFT
NPI 1710654777 · Mental Health Counselor · Cherry Valley, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Fredriksen, PH.D., LMHC, LMFT is a Mental Health Counselor provider in Cherry Valley, NY (NPI 1710654777).
Provider details
- NPI number
- 1710654777
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D., LMHC, LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 002156 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-26
- Last updated
- 2024-08-01
- Certified
- 2024-07-30
Frequently asked questions
- What is Jaclyn Fredriksen's NPI number?
- Jaclyn Fredriksen's National Provider Identifier (NPI) is 1710654777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Fredriksen's specialty?
- Jaclyn Fredriksen is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jaclyn Fredriksen located?
- Jaclyn Fredriksen's practice location on file with NPPES is 3212 County Highway 31, Cherry Valley, NY 13320-3702.
- What is Jaclyn Fredriksen's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Fredriksen is (607) 677-4052.
- Does Jaclyn Fredriksen accept Medicare?
- Jaclyn Fredriksen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Fredriksen's NPI active?
- Yes — Jaclyn Fredriksen's NPI (1710654777) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.