P Praxis·MD
● Active Type 1 · Individual

Ashley J Fredrickson, CPSS

Peer Specialist·Burley, ID· NPI 1518836063 · Enumerated 2025 · 0 years on NPI
Fredrickson is 1 of 1 peer specialist providers in Burley and 1 of 222 in Idaho.
NPI age
— years
Enumerated 2025-11-03
Primary specialty
Peer Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 222 active peer specialist providers in Idaho.

NPI age
0 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-11Enumerated in NPPES
2025 2026

Where they practice

Practice location
531e E 5th St
Burley, ID 833181402
📞 2086783555fax 2086783556
Mailing address
522 E 13th St
Burley, ID 833181905
📞 2086783555fax 2086783556

Specialties

  • Peer Specialist Primary
    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
    taxonomy 175T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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