Beth Marie Mutton, LCPC,CADC,SAP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015969 Issued in IL

Practice address

7294 Argus Dr
Rockford, IL 61107-5837

Phone

(815) 391-3055

NPI assigned

Jul 25, 2019

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Willow Creek Counseling LLCGroup PAC ID 8325415102, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Willow Creek Counseling LLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1144941394

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1619521945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 RED OAK LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072711",
            "telephone_number": "815-670-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7294 ARGUS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-391-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTON",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "LCPC,CADC,SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Murry
• Mary Annette Murtaugh, APN-FNP-BC
• Deborah Lynne Musselman, RD
• Courtney L Musser, DPT
• Mohammad Asim Mustafa, M.D.
• Sophia Muzzarelli
• My First Words, Inc.
• My Massage Sanctuary, Inc
• Greg Myer, N.P
• Samantha R Myer, APRN

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.