NPIMap

Organization Active NPI

Catholic Charities Counseling

  • Voluntary or Charitable Agency
  • Rockford, IL
National Provider Identifier
1043229909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CATHOLIC CHARITIES COUNSELING
Practice address
102 S Madison St
Rockford, IL 61104-1102
Phone
(815) 965-0623
Fax
(815) 962-9036
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jason Christensen
Title
Asst. Director
Phone
(815) 965-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X IL Primary

Addresses

Primary practice location

102 S Madison St
Rockford, IL 61104-1102

Mailing address

102 S Madison St
Rockford, IL 61104-1102
Phone (815) 965-0623

Other identifiers 1

IdentifierTypeStateIssuer
10132028OtherILBLUE CROSS/BLUE SHIELD

Other names 1

  • CATHOLIC CHARITIES - DIOCESE OF ROCKFORD Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities - Diocese of Rockford Il8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043229909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MADISON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041102",
            "telephone_number": "815-965-0623",
            "fax_number": "815-962-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MADISON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041102",
            "telephone_number": "815-965-0623",
            "fax_number": "815-962-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ASST. DIRECTOR",
        "authorized_official_telephone_number": "815-965-0623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "10132028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATHOLIC CHARITIES - DIOCESE OF ROCKFORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.