Active NPI
Brek Therapy and Wellness, PLLC
- Mental Health Counselor
- Rockford, IL
National Provider Identifier
1285539213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BREK THERAPY AND WELLNESS, PLLC
- Practice address
- 6072 Brynwood Dr Ste 205
Rockford, IL 61114-5829 - Phone
- (815) 242-1213
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Brekelbaum, LCPC
- Title
- Licensed Clinical Professional Coun
- Phone
- (815) 979-1195
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
6072 Brynwood Dr Ste 205
Rockford, IL 61114-5829
Mailing address
4582 Cinnamon LN
Rockford, IL 61114-5326
Phone (815) 979-1195
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Rockford, IL
- NPI 1659113363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1285539213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4582 CINNAMON LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145326",
"telephone_number": "815-979-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 BRYNWOOD DR STE 205",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145829",
"telephone_number": "815-242-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREK THERAPY AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "BREKELBAUM",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
"authorized_official_telephone_number": "815-979-1195",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.