Individual provider Active NPI

Miguel Angel Toledo, LCSW

  • Mental Health Counselor
  • Rockford, IL
National Provider Identifier
1356092027
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.025445 Issued in IL
Practice address
483 N Mulford Rd Ste 8
Rockford, IL 61107-5164
Phone
(779) 770-0512
NPI assigned
Jan 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 149.025445 IL Primary

Addresses

Primary practice location

483 N Mulford Rd Ste 8
Rockford, IL 61107-5164

Mailing address

483 N Mulford Rd Ste 8
Rockford, IL 61107-5164

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230501000239 IL Practitioner - Clinical Social Worker 9739544503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Toledo Mental Health Clinic PLLCGroup PAC ID 0547755142, 4 clinicians
Montes Psychiatric Center PCGroup PAC ID 5991125585, 4 clinicians

Practice addresses (Care Compare)

483 N Mulford Rd
Suite 8
Rockford, IL 61107-5164
Phone (815) 276-4976

6090 Strathmoor Dr
Suite 1
Rockford, IL 61107-5200
Phone (815) 839-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025445ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Mental Health Clinic PLLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Toledo Behavioral Health PLLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

483 N Mulford Rd
Ste 8
Rockford, IL 61107
Phone (779) 210-2964

Organizations & group practices 3

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1356092027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD STE 8",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD STE 8",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075164",
            "telephone_number": "779-770-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.025445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.