Amber Rakoczy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013327 Issued in IL

Practice address

1095 Pingree Rd Ste 202
Crystal Lake, IL 60014-1727

Phone

(815) 893-9040

NPI assigned

Apr 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roan Solutions LLC

  • Clinical Social Worker
  • Elgin, IL
  • NPI 1639761638
  Medicare reassignment NPD Authorized official
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  Clinical

  NPD (past)

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1215355276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 202",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141727",
            "telephone_number": "815-893-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 202",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141727",
            "telephone_number": "815-893-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOCZY",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feraz Najmi Rahman, MD
• Rain to Rainbow Counseling, LLC
• Ashley Rainey, MS, OTR/L
• Rainwater Counseling and Wellness
• Victoria Lynn Rake, D.C.
• Kimberly Ramire, PTA
• Racquel Norada Ramirez-Dolleton V, M.D.
• Angelo Ramirez
• Randy Halihan Family Dentistry
• Veera A Rao, MD

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.

Verify at the official NPI Registry.