NPIMap

Organization Active NPI

Aspen Counseling & Consulting LLC

  • Community/Behavioral Health Agency
  • Rockford, IL
National Provider Identifier
1326288994
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASPEN COUNSELING & CONSULTING LLC
Practice address
1021 N Mulford Rd
L1
Rockford, IL 61107-3877
Phone
(815) 399-9700
Fax
(815) 394-1401
NPI assigned
Feb 23, 2009
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSECRANCE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Mr. Philip W Eaton, MASTERS OF SCIENCE
Title
President / Ceo
Phone
(815) 391-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1021 N Mulford Rd
L1
Rockford, IL 61107-3877

Mailing address

8616 Northern Ave
Rockford, IL 61107-5309
Phone (815) 399-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131209001589 IL Part B Supplier - Clinic/Group Practice 9335376805 Receives reassigned benefits from 21 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory
Part of
Rosecrance Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1021 N Mulford Rd
#L1
Rockford, IL 61107
Phone (815) 399-9700

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1326288994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 NORTHERN AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075309",
            "telephone_number": "815-399-9700",
            "fax_number": "815-394-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "address_2": "L1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073877",
            "telephone_number": "815-399-9700",
            "fax_number": "815-394-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN COUNSELING & CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSECRANCE, INC",
        "enumeration_date": "2009-02-23",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "815-391-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.