Mosaic Counseling Services, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOSAIC COUNSELING SERVICES, INC

Practice address

6072 Brynwood Dr Ste 107
Rockford, IL 61114-5829

Phone

(815) 846-0684

Fax

(888) 827-2114

NPI assigned

Apr 20, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Yates, LCPCNPI 1003319781

Title

Owner

Phone

(815) 846-0684

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Stephanie Yates, LCPC

  • Professional Counselor
  • Rockford, IL
  • NPI 1003319781
  NPD Authorized official
• Jay Jackson Swanson

  • Professional Counselor
  • Rockford, IL
  • NPI 1225643174
  NPD (past)
• Ant Walach

  • Mental Health Counselor
  • Rockford, IL
  • NPI 1962388629
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1205570843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 BRYNWOOD DR STE 107",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145829",
            "telephone_number": "815-846-0684",
            "fax_number": "888-827-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 BRYNWOOD DR STE 107",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145829",
            "telephone_number": "815-846-0684",
            "fax_number": "888-827-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-846-0684",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1003319781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Katherine Morrison, MS, CCC-SLP
• Amanda Soraya Morrow, DPT
• Morsay Physical Medicine Center LTD. (Morsay Medical and Rehab.)
• James Vincent Morse, P.T.A.
• Mosaic
• Laura Moski, LCSW
• Thomas Ryan Moss, DDS
• Lorri Jo Mostad, APN
• Motivate Health Inc
• Motivating Individuals for Learning and Living (The Mill)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.