MS. TRISHA LYNN FREDERICK (M.S.) – Professional Counselor, NPI 1487947578

MS. TRISHA LYNN FREDERICK (M.S.) is a healthcare provider. based in Brookfield, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S.. They hold a License No. 1027-226 (WI). The NPI Number for MS. TRISHA LYNN FREDERICK (M.S.) is 1487947578

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. TRISHA LYNN FREDERICK (M.S.)
NPI
1487947578
Phone
(262) 785-1008
Address
12690 W. NORTH AVE.
Enumeration Date
23 May 2011
Last Update Date
23 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9133654221
Group Practice PAC ID
8325046162
Professional Enrollment ID
I20241126003107
Address ID
WI530054626Br12630AVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MS. TRISHA LYNN FREDERICK (M.S.)

  • 12690 W. NORTH AVE.

    BUILDING C

    BROOKFIELD, WI 530054605

    Phone: (262) 785-1008

    Fax: (262) 785-0644

    Mailing address matches the actual address.

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: 2024-11-26

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
I20241126003107IMental Health CounselorWITBD

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 53005)

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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: 8325046162View full group profile
NameSpecialtyState
Clinical Social WorkerWI
-WI
Clinical PsychologistWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do payers reference MS. TRISHA LYNN FREDERICK (M.S.)?
For MS. TRISHA LYNN FREDERICK (M.S.), use NPI 1487947578 as the unique 10-digit identifier.
Is MS. TRISHA LYNN FREDERICK (M.S.) still an active registrant?
MS. TRISHA LYNN FREDERICK (M.S.) carries an active NPI according to the public dataset.
What kind of doctor is MS. TRISHA LYNN FREDERICK (M.S.)?
MS. TRISHA LYNN FREDERICK (M.S.) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is MS. TRISHA LYNN FREDERICK (M.S.) associated with Brookfield?
Public fields place MS. TRISHA LYNN FREDERICK (M.S.) around Brookfield, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. TRISHA LYNN FREDERICK (M.S.) is noted as May 23, 2011 where the registry provides it.

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