HEATHER FREDERICK (LPC, CAADC, CCS) – Professional Counselor, NPI 1003020249

HEATHER FREDERICK (LPC, CAADC, CCS) is a healthcare provider. based in Ann arbor, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, CAADC, CCS. The NPI Number for HEATHER FREDERICK (LPC, CAADC, CCS) is 1003020249

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER FREDERICK (LPC, CAADC, CCS)
NPI
1003020249
Phone
(734) 725-8802
Address
2301 S Huron Pkwy
Enumeration Date
9 May 2007
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172631800
Graduation Year
2011 (15 years ago)
PAC ID
0648622936
Group Practice PAC ID
2769575653
Professional Enrollment ID
I20240123001871
Address ID
MI492211759AD1200XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for HEATHER FREDERICK (LPC, CAADC, CCS)

  • 2301 S Huron Pkwy

    Ann Arbor, MI 481045133

    Phone: (734) 725-8802

    Type: Location

  • 7355 LEWIS AVE STE C

    TEMPERANCE, MI 481821465

    Phone: (734) 224-3761

    Type: Location

  • 2, North Summit Street, Saint Clair Street Historic District, Toledo, Lucas County, Ohio, 43604, United States

    TOLEDO, OH 436041884

    Phone:

    Type: Mailing

  • 7250 DOUGLAS RD

    LAMBERTVILLE, MI 481449488

    Phone: (734) 652-6782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123001871IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769575653View full group profile
NameSpecialtyState
-MI
Family PracticeMI
Clinical Social WorkerMI
Nurse PractitionerHI
Clinical Social WorkerMI
Family PracticeOH
Family PracticeOH
Family PracticeMI
Mental Health CounselorMI
Physician AssistantMI

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Frequently asked questions

What is the 10-digit NPI for HEATHER FREDERICK (LPC, CAADC, CCS)?
HEATHER FREDERICK (LPC, CAADC, CCS) — NPI 1003020249 — is the standard way to identify this listing.
Does the file indicate HEATHER FREDERICK (LPC, CAADC, CCS) is practicing under active NPI?
Directory data currently reports HEATHER FREDERICK (LPC, CAADC, CCS) as active.
What is HEATHER FREDERICK (LPC, CAADC, CCS)'s specialty?
The listing groups HEATHER FREDERICK (LPC, CAADC, CCS) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for HEATHER FREDERICK (LPC, CAADC, CCS)?
HEATHER FREDERICK (LPC, CAADC, CCS)'s geographic hint is Ann Arbor, Michigan in our summary view.
Is the information about HEATHER FREDERICK (LPC, CAADC, CCS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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