Frederick Vickery, LPPC, LADC
NPI 1215443049 · Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Frederick Vickery, LPPC, LADC is a Addiction (Substance Use Disorder) Counselor provider in Minneapolis, MN (NPI 1215443049).
Provider details
- NPI number
- 1215443049
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LPPC, LADC
- Sex
- Male
- Sole proprietor
- No
- License
- 1835 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Frederick Vickery's NPI number?
- Frederick Vickery's National Provider Identifier (NPI) is 1215443049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Vickery's specialty?
- Frederick Vickery is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Frederick Vickery located?
- Frederick Vickery's practice location on file with NPPES is 621 W Lake St Ste 350, Minneapolis, MN 55408-2952.
- What is Frederick Vickery's phone number?
- The practice phone number listed in the NPPES registry for Frederick Vickery is (651) 895-7887.
- Does Frederick Vickery accept Medicare?
- Frederick Vickery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Frederick Vickery's NPI active?
- Yes — Frederick Vickery's NPI (1215443049) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.