Individual provider Active NPI

Sophia Muzzarelli

  • Mental Health Counselor
  • Rockford, IL
National Provider Identifier
1023888294
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
220 Easton Pkwy
Rockford, IL 61108-2203
Phone
(815) 962-8071
Fax
(815) 962-7895
NPI assigned
Jan 8, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

220 Easton Pkwy
Rockford, IL 61108-2203

Mailing address

220 Easton Pkwy
Rockford, IL 61108-2203
Phone (815) 962-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822003015 IL Practitioner - Mental Health Counselor 5193225274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Clarity Counseling and Mediation IncGroup PAC ID 3678869179, 6 clinicians

Practice addresses (Care Compare)

4835 Manhattan Dr
Rockford, IL 61108-2265
Phone (815) 520-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling and Mediation Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

4835 Manhattan Dr
Rockford, IL 61108
Phone (815) 229-9100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1023888294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EASTON PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082203",
            "telephone_number": "815-962-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EASTON PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082203",
            "telephone_number": "815-962-8071",
            "fax_number": "815-962-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZZARELLI",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.