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

Nancy Fredrick, LCPC

Individual provider Professional Counselor · NPI 1457774390

Nancy Fredrick, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2013, 13 years ago. Practices with Thriveworks Clinical - Illinois, a 45-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180010935 (IL)

Record details

NPI number1457774390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJanuary 29, 2014
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1200 W State St, Rockford, IL 61102-2112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Thriveworks Clinical - Illinois — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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