Fredrickson Counseling P C in Rockford, IL

Fredrickson Counseling P C is a medicare enrolled mental health clinic (Counselor - Professional) in Rockford, Illinois. The current practice location for Fredrickson Counseling P C is 1639 N Alpine Rd Ste 403, Rockford, Illinois. For appointments, you can reach them via phone at (815) 229-7102. The mailing address for Fredrickson Counseling P C is 1639 N Alpine Rd Ste 403, Rockford, Illinois and phone number is (815) 229-7102.

Fredrickson Counseling P C is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700650793. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 229-7102.

Contact Information

	Fredrickson Counseling P C
	1639 N Alpine Rd Ste 403 Rockford IL 61107-1440
	(815) 229-7102
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Fredrickson Counseling P C
Speciality	Counselor
Location	1639 N Alpine Rd Ste 403, Rockford, Illinois
Authorized Official Name and Position	Tim Fredrickson (OWNER)
Authorized Official Contact	8152297102
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fredrickson Counseling P C 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (815) 229-7102	Fredrickson Counseling P C 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (815) 229-7102

NPI Details:

NPI Number	1700650793
Provider Enumeration Date	11/09/2023
Last Update Date	11/09/2023
Certification Date	11/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2860830361
Medicare Enrollment ID	O20240403001420

Medical Identifiers

Medical identifiers for Fredrickson Counseling P C such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700650793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fredrickson Counseling P C acts as a billing entity for following providers:

Provider Name	Timothy Fredrickson
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1922073642 PECOS PAC ID: 3678911179 Enrollment ID: I20240403001488

Reviews and Comments

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Fredrickson Counseling P C - Medicare Mental Health Clinic in Rockford, IL