Active NPI
Kevin Thomas
- Professional Counselor
- Rockford, IL
National Provider Identifier
1245183052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829 - Phone
- (779) 363-4390
- NPI assigned
- Feb 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829
Mailing address
6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829
Phone (779) 363-4390
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6072 Brynwood Dr
Suite 201
Rockford, IL 61114-5829
Phone (779) 363-4390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014659 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalm Oasis Therapy LLC | Mental Health | Current | Accepting new patients |
Locations
6072 Brynwood Dr
Ste 201
Rockford, IL 61114
Phone (779) 363-4390
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1245183052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6072 BRYNWOOD DR STE 201",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145829",
"telephone_number": "779-363-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 BRYNWOOD DR STE 201",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145829",
"telephone_number": "779-363-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-19",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 6, 2026; 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.