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

Samantha Fredericks

Individual provider Mental Health Counselor · NPI 1114665239

Samantha Fredericks is a Mental Health Counselor in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

299 Broadway Ste 1115
New York, NY 10007-1901
Phone: (646) 250-8212
Show map & directions

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

Additional practice locations (1)

  • 234 Thompson St Apt 21, New York, NY 10012-1345 — (814) 602-8817

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18-P123411-01 (NY)

Record details

NPI number1114665239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Other providers in New York