The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Estacada and Oregon

4 active clinicians are listed under Counselor - Professional with a practice address in Estacada, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-30

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location September 30, 2025

Registered at 112 NE OAK VIEW LN, ESTACADA, OR 970239357 (Tel: 5204904647)

📍

Updated Business Mailing Address September 30, 2025

Registered at 112 NE OAK VIEW LN, ESTACADA, OR 970239357 (Tel: 5204904647)

👤

Provider Name / Credentials Updated September 30, 2025

Recorded as SYDNEY FREDRICKSON

✅

NPI Profile Active January 26, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) January 26, 2021

Registered at 3737 PORTLAND RD NE, SALEM, OR 973010311 (Tel: 5033902600)

📍

Business Mailing Address (Initial Record) January 26, 2021

Registered at 3737 PORTLAND RD NE, SALEM, OR 973010311

👤

Provider Name / Credentials (Initial Record) January 26, 2021

Recorded as SYDNEY DROLL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Counselor

🟢

Initial NPI Registration & Enumeration January 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417547142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 26, 2021

Last Update: September 30, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

112 Ne Oak View Ln

Estacada, OR 970239357

Phone: 5204904647

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.