VICTORIA FRYE – Professional Counselor, NPI 1063734663

VICTORIA FRYE is a healthcare provider. based in St louis park, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 408 (MN). The NPI Number for VICTORIA FRYE is 1063734663

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA FRYE
NPI
1063734663
Phone
(651) 645-5323
Address
5354 PARKDALE DR STE 200
Enumeration Date
23 February 2010
Last Update Date
10 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516455323
Graduation Year
2008 (18 years ago)
PAC ID
7113361635
Group Practice PAC ID
5193623254
Professional Enrollment ID
I20240222003428
Address ID
MN554161603ST5354XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for VICTORIA FRYE

  • 5354 PARKDALE DR STE 200

    ST LOUIS PARK, MN 554161617

    Phone: (651) 645-5323

    Type: Mailing

  • 2265 Como Ave

    Suite 100

    Saint Paul, MN 551081737

    Phone: (651) 647-5135

    Type: Location

  • 5354 Parkdale Dr

    St Louis Park, MN 554161603

    Phone: (651) 645-5323

    Type: Location

  • Long Lake Rd, County Road D West, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 551126414

    Phone: (612) 706-9630

    Fax: (612) 706-9617

    Type: Location

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: 2024-02-22

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
I20240222003428IMental Health CounselorMNTBD

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 55416)

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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: 5193623254View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Mental Health CounselorMN
Clinical PsychologistWY
Mental Health CounselorMN
Nurse PractitionerMN
-MN
Clinical Social WorkerOH
-VA
Mental Health CounselorOH

Reviews

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Frequently asked questions

Does VICTORIA FRYE have a public NPI I can cite?
Public records show VICTORIA FRYE under NPI 1063734663.
Quick check: is VICTORIA FRYE active?
Public NPPES data shows VICTORIA FRYE with an active NPI status right now.
What services align with VICTORIA FRYE's listing?
VICTORIA FRYE's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VICTORIA FRYE?
VICTORIA FRYE is associated with St Louis Park, Minnesota in the same public data insurers reference.
Why is information missing for VICTORIA FRYE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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