Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922073642 Individual Practitioner Male Practitioner

Timothy Fredrickson , LCPC

Counselor - Professional • Rockford, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Timothy Fredrickson, LCPC is a certified Counselor - Professional practicing in Rockford, IL. With approximately 35 years of clinical experience since completing medical education in 1991, Timothy Fredrickson delivers high-quality medical care to the local community at 1639 N ALPINE RD STE 403.

Timothy Fredrickson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1639 N Alpine Rd Ste 403

Rockford, IL 611071440

Telephone 8152297102
Fax 8152297108
Associated Practice Facility / Clinic
🏢 Rachel Schultz Counseling Llc Facility NPI 1962907881

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rockford, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +21.4 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
172 Specialists

Practicing in Rockford, IL (9683 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fredrickson (35 Years) 35 Yrs
Rockford Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-05-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180-001837

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kelly Kalt , MSW, LCSW

Social Worker - Clinical

NPI 1063513513

Master of Social Work, Licensed Clinical Social Worker

James Parrish , LCPC

Counselor - Professional

NPI 1083691018

Licensed Clinical Professional Counselor

Ashley Baylor , LCPC

Counselor - Professional

NPI 1124861992

Licensed Clinical Professional Counselor

Terry Minnick , LCPC

Counselor - Professional

NPI 1477530723

Licensed Clinical Professional Counselor

Jerald Norquist , PC

Counselor - Professional

NPI 1861654329

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 06, 2023

Registered at 1639 N ALPINE RD STE 403, ROCKFORD, IL 611071440 (Tel: 8152297102)

📍
Updated Business Mailing Address November 06, 2023

Registered at 1639 N ALPINE RD STE 403, ROCKFORD, IL 611071440 (Tel: 8152297102)

👤
Provider Name / Credentials Updated November 06, 2023

Recorded as TIMOTHY FREDRICKSON, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2023

Counselor (License #180-001837 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5702 ELAINE DR, ROCKFORD, IL 611082458 (Tel: 8152297102)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5702 ELAINE DR, ROCKFORD, IL 611082458 (Tel: 8152297102)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIM FREDRICKSON, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922073642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: November 06, 2023
Sole Proprietor: Yes

Mailing Address

1639 N Alpine Rd Ste 403

Rockford, IL 611071440

Phone: 8152297102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.