Active NPI
Dwyer-Elias Counseling and Therapy, P.C.
- Mental Health Counselor
- Rock Island, IL
National Provider Identifier
1003080144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DWYER-ELIAS COUNSELING AND THERAPY, P.C.
- Practice address
- 1800 3Rd Ave
Suite 516
Rock Island, IL 61201-8026 - Phone
- (309) 788-1050
- NPI assigned
- Apr 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Ruth Dwyer-Elias, LCSW, LISW
- Title
- Owner
- Phone
- (309) 788-1050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
1800 3Rd Ave
Suite 516
Rock Island, IL 61201-8026
Mailing address
2631 Farnam St
Davenport, IA 52803-1809
Phone (563) 326-4881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1800 3rd Ave
Ste 516
Rock Island, IL 61201
Phone (309) 788-1050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Rock Island, IL
- NPI 1669431821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1003080144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 FARNAM ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528031809",
"telephone_number": "563-326-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 3RD AVE",
"address_2": "SUITE 516",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612018026",
"telephone_number": "309-788-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DWYER-ELIAS COUNSELING AND THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "DWYER-ELIAS",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-788-1050",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, LISW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.