Individual provider Active NPI

Robert Donohoo, MS ED

  • Marriage & Family Therapist
  • Rock Island, IL
National Provider Identifier
1447550678
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000849 Issued in IL
Practice address
1800 3Rd Ave
Suite 512
Rock Island, IL 61201-8000
Phone
(309) 786-4491
Fax
(309) 786-0205
NPI assigned
Oct 21, 2010
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000849 IL Primary

Addresses

Primary practice location

1800 3Rd Ave
Suite 512
Rock Island, IL 61201-8000

Mailing address

1800 3Rd Ave
Suite 512
Rock Island, IL 61201-8000
Phone (309) 786-4491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 3, 2024 through Sep 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
166.000849ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Counseling, LLC Marriage & Family Therapist Current Accepting new patients
Marriage and Family Counseling Service of R I Co Marriage & Family Therapist PastSince Jan 4, 2026 Accepting new patients

Locations

2435 Kimberly Rd
Ste 255S
Bettendorf, IA 52722

Organizations & group practices 2

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1447550678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 3RD AVE",
            "address_2": "SUITE 512",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018000",
            "telephone_number": "309-786-4491",
            "fax_number": "309-786-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 3RD AVE",
            "address_2": "SUITE 512",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018000",
            "telephone_number": "309-786-4491",
            "fax_number": "309-786-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHOO",
        "first_name": "ROBERT",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-21",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.