Individual provider Active NPI

Cassandra Dee Lorenz, MSW

  • Mental Health Counselor
  • Rockford, IL
National Provider Identifier
1245507987
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
150013295 Issued in IL
Practice address
210 N Longwood St
Rockford, IL 61107-4134
Phone
(815) 962-5585
Fax
(815) 962-8945
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 150013295 IL Primary

Addresses

Primary practice location

210 N Longwood St
Rockford, IL 61107-4134

Mailing address

210 N Longwood St
Rockford, IL 61107-4134
Phone (815) 962-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150013295ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Services of Northern Illinois PastSince Apr 29, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1245507987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N LONGWOOD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074134",
            "telephone_number": "815-962-5585",
            "fax_number": "815-962-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N LONGWOOD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074134",
            "telephone_number": "815-962-5585",
            "fax_number": "815-962-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "CASSANDRA",
        "middle_name": "DEE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150013295",
            "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 Nov 23, 2011; 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.