FREDRICKSON COUNSELING P C
NPI 1700650793
Counselor - Professional in Rockford, IL
About Fredrickson Counseling P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDRICKSON COUNSELING P C (NPI 1700650793) is a healthcare organization registered as a professional in Rockford, Illinois and active in the NPI registry since November 2023. The organization lists Tim Fredrickson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fredrickson Counseling P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fredrickson Counseling P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fredrickson Counseling P C's NPI number?
The NPI number for Fredrickson Counseling P C is 1700650793. It was assigned to this organization in the NPPES registry on November 9, 2023.
Where is Fredrickson Counseling P C located?
Fredrickson Counseling P C is located at 1639 N Alpine Rd Ste 403, Rockford, IL 61107. The listed phone number is (815) 229-7102.
What is Fredrickson Counseling P C's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fredrickson Counseling P C enrolled in Medicare?
Yes. Fredrickson Counseling P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fredrickson Counseling P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Fredrickson Counseling P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fredrickson Counseling P C accept?
Health plans from Quartz list Fredrickson Counseling P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fredrickson Counseling P C was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fredrickson Counseling P C · NPI 1700650793
Professional organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since November 9, 2023.
## Identity
- **NPI:** 1700650793 (Entity type: Organization)
- **Enumerated:** November 9, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tim Fredrickson, OWNER
## Practice location
- **Address:** 1639 N ALPINE RD STE 403, Rockford, IL 61107-1440
- **Phone:** (815) 229-7102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700650793) · Data from the CMS NPPES public registry.