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

Mrs. Brooke Leigh Fredrickson, LRD, CSG

Individual provider Registered Dietitian · NPI 1053645317

Mrs. Brooke Leigh Fredrickson, LRD, CSG is registered under Registered Dietitian OR Nutrition Professional in Cooperstown, North Dakota. Qualified in 2005, 21 years ago. Practices with Valley Christian Counseling Center Inc, a 19-clinician group. Licensed in North Dakota.

Years since qualifying
21
Licensed in
ND
In the registry since
2009
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Practice location Address checks out

1200 Roberts Ave NE
Cooperstown, ND 58425-7101 Not confirmed with CMS for 17 years — call before visiting
Phone: (701) 797-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 669 (ND)

Record details

NPI number1053645317
Entity typeIndividual (Type 1)
GenderFemale
Credentials LRD , CSG
Sole proprietorNo
NPI enumeratedSeptember 18, 2009
Last updated in NPPESSeptember 18, 2009

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Valley Christian Counseling Center Inc — 19 clinicians
Accepts Medicare assignment Not indicated

Colleagues at Valley Christian Counseling Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.