Organization Active NPI

Progress Mental Health LLC

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1013351006
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROGRESS MENTAL HEALTH LLC
Practice address
7123 Cherryvale North Blvd
Suite G
Rockford, IL 61112-1060
Phone
(815) 704-5893
Fax
(614) 748-5893
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer L Onsgard
Title
Office Manager
Phone
(815) 704-5893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7123 Cherryvale North Blvd
Suite G
Rockford, IL 61112-1060

Mailing address

7123 Cherryvale North Blvd
Suite G
Rockford, IL 61112-1060
Phone (815) 704-5893

National Provider Directory

National Provider Directory

Locations

7123 Cherryvale North Blvd
Rockford, IL 61112
Phone (815) 704-5893

7123 Cherryvale North Blvd
Ste G
Rockford, IL 61112
Phone (815) 704-5893

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1013351006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 CHERRYVALE NORTH BLVD",
            "address_2": "SUITE G",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121060",
            "telephone_number": "815-704-5893",
            "fax_number": "614-748-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7123 CHERRYVALE NORTH BLVD",
            "address_2": "SUITE G",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121060",
            "telephone_number": "815-704-5893",
            "fax_number": "614-748-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ONSGARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-704-5893"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.