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

Mr. Timothy Fredrickson

Individual provider Mental Health Counselor · NPI 1477248664

Mr. Timothy Fredrickson is a Mental Health Counselor in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

660 W Washington Ave
Madison, WI 53703-4703
Phone: (608) 444-5106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11167-125 (WI)

Record details

NPI number1477248664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2023
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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