Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003042151 Individual Practitioner Female Practitioner

Fredericka C Wilfong , MDIV

Counselor • Maitland, FL

Professional Overview & Biography Verified Profile Summary

Fredericka Wilfong, MDIV is a registered healthcare professional specializing in Counselor in Maitland, FL. Practice services are available at 1009 MAITLAND CENTER COMMONS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1009 Maitland Center Commons Blvd
Suite 212

Maitland, FL 327517270

Telephone 8008402528
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
57 Specialists

Practicing in Maitland, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL IMT2141

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Meredith Rexroad

Student in an Organized Health Care Education/Training Program

NPI 1053876052
Jamie Royce

Social Worker

NPI 1083182661
Grace Fortier

Counselor - Mental Health

NPI 1104308428
Eduardo Gonzalez , LMHC

Counselor - Mental Health

NPI 1114268026

Licensed Mental Health Counselor

NPI 1114518453
Melissa Bryant , LMHC

Counselor - Mental Health

NPI 1134447279

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2015

Registered at 1009 MAITLAND CENTER COMMONS BLVD, SUITE 212, MAITLAND, FL 327517270 (Tel: 8008402528)

📍
Updated Business Mailing Address October 19, 2015

Registered at 7729 PINEAPPLE DR, ORLANDO, FL 328355311 (Tel: 3212766692)

👤
Provider Name / Credentials Updated October 19, 2015

Recorded as FREDERICKA WILFONG, M.DIV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Counselor (License #IMT2141 in FL)

🟢
Initial NPI Registration & Enumeration June 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003042151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2009
Last Update: October 19, 2015
Sole Proprietor: Yes

Mailing Address

7729 Pineapple Dr

Orlando, FL 328355311

Phone: 3212766692

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.