MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) – Professional Counselor, NPI 1043499072

MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) is a healthcare provider. based in Huntingdon valley, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MGPP, LPC. They hold a License No. PC010972 (PA). The NPI Number for MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) is 1043499072

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)
NPI
1043499072
Phone
(215) 914-4190
Address
821 HUNTINGDON PIKE STE 204
Enumeration Date
26 October 2007
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
1992 (34 years ago)
PAC ID
6305281205
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20240301001566
Address ID
PA190203752BE1950XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)

  • 821 HUNTINGDON PIKE STE 204

    HUNTINGDON VALLEY, PA 190068372

    Phone: (215) 914-4190

    Type: Location

  • 1315 Windrim Ave

    Philadelphia, PA 191412710

    Phone: (215) 456-2607

    Type: Location

  • 1315, Windrim Avenue, Logan, Philadelphia, Philadelphia County, Pennsylvania, 19141, United States

    PHILADELPHIA, PA 191412710

    Phone: (215) 456-2607

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240301001566IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749458420View full group profile
NameSpecialtyState
Clinical PsychologistPA
Mental Health CounselorOH
Clinical Social WorkerGA
Mental Health CounselorGA
Mental Health CounselorOH
Clinical Social WorkerPA
Nurse PractitionerOH
Clinical Social WorkerMD
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What is the standard ID for MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) in the U.S.?
In the U.S., MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) is identified by NPI 1043499072.
Does the public listing show MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) as active?
MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)?
NPPES ties MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)?
MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC) shows a connection to Huntingdon Valley, Pennsylvania in registry-derived data.
Can I export MR. ROBERT MIDDLETON III FRAZIER (MGPP, LPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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