Organization Active NPI

Liam Foundation

  • Voluntary or Charitable Agency
  • Rockford, IL
National Provider Identifier
1457259442
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LIAM FOUNDATION
Practice address
1005 5TH Ave
Rockford, IL 61104-1301
Phone
(331) 303-0818
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Kirsten Ivy, LPC
Title
Board Member
Phone
(773) 240-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1005 5TH Ave
Rockford, IL 61104-1301

Mailing address

2107 Arizona Ave
Rockford, IL 61108-6026
Phone (773) 240-7358

National Provider Directory

National Provider Directory

Locations

1005 5th Ave
Rockford, IL 61104

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1457259442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 ARIZONA AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086026",
            "telephone_number": "773-240-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 5TH AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041301",
            "telephone_number": "331-303-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAM FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "773-240-7358",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "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 29, 2026; 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.