Active NPI
Furrunnecia Newberry, LCPC
- Professional Counselor
- Rockford, IL
National Provider Identifier
1104304120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1601 University Dr
Rockford, IL 61107-5317 - Phone
- (815) 391-1000
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1601 University Dr
Rockford, IL 61107-5317
Mailing address
142 Summit Street
1N
Rockford, IL 61107
Phone (815) 954-2781
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Urban Counselor | Professional | Current | Accepting new patients |
| Sondermind PC | Professional | Current | Accepting new patients |
Locations
416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1982299848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1104304120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SUMMIT STREET",
"address_2": "1N",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "815-954-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 UNIVERSITY DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075317",
"telephone_number": "815-391-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "FURRUNNECIA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2021-03-25",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Neurex PLLC
- Neurological Clinic of Rockford SC
- New Chapter Therapy, PLLC
- New Milford Fire Ambulance
- New Vision of Illinois, LLC (Brightbill-Ericson Eye Associates)
- Veronica Newburn, PA-C
- Isabella Patricia Newcomer, DDS
- Sonja Newton
- Next Level Health,LLC (Next Level Health Cooperative)
- Next Level Medical Centers PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.