MR. TIMOTHY FREDRICKSON LCPC NPI 1922073642

NPI Information

  • NPI: 1922073642
  • Provider Name: MR. TIMOTHY FREDRICKSON, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1639 N ALPINE RD STE 403
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 229-7102

Map and Directions

Get Directions

NPI Details

MR. Timothy Fredrickson, LCPC is a professional counselor in Rockford, IL with 35 years of experience. MR. Timothy Fredrickson, LCPC NPI is 1922073642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1639 N ALPINE RD STE 403
ROCKFORD, IL
ZIP 61107-440
Phone: (815) 229-7102
Fax: (815) 229-7108

The NPI 1922073642 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180-001837ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI