Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frederick Marcus Vickery, LPPC, LADC

Individual provider Professional Counselor · NPI 1215443049

Frederick Marcus Vickery, LPPC, LADC is a Professional Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone: (651) 895-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304457 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 1835 (MN)

Record details

NPI number1215443049
Entity typeIndividual (Type 1)
GenderMale
Credentials LPPC , LADC
Sole proprietorNo
NPI enumeratedDecember 15, 2017
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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