Provider Demographics
NPI:1902943806
Name:ROPKE, FREDERICK WILLIAM CARL IV (LMHC)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:WILLIAM CARL
Last Name:ROPKE
Suffix:IV
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3596 TAMIAMI TRL
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8263
Mailing Address - Country:US
Mailing Address - Phone:941-255-5900
Mailing Address - Fax:
Practice Address - Street 1:3596 TAMIAMI TRL
Practice Address - Street 2:SUITE 204
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8263
Practice Address - Country:US
Practice Address - Phone:941-255-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8583OtherBLUE CROSS OF FL