Individual provider Active NPI

Rose Tomczak

  • Mental Health Counselor
  • Palos Hills, IL
National Provider Identifier
1699631887
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9944 S Roberts Rd Ste 202
Palos Hills, IL 60465-1558
Phone
(708) 586-9050
NPI assigned
Dec 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 Primary

Addresses

Primary practice location

9944 S Roberts Rd Ste 202
Palos Hills, IL 60465-1558

Mailing address

16900 S Parker Rd
Homer Glen, IL 60491-6104

Other practice location 1

511 Porter St
Lemont, IL 60439-3729
Phone (815) 450-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Clinic P C CurrentSince Jan 4, 2026 Accepting new patients

Locations

9944 S Roberts Rd
Ste 202
Palos Hills, IL 60465
Phone (708) 586-9050

Organizations & group practices 1

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": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1699631887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 S PARKER RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 202",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651558",
            "telephone_number": "708-586-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Porter St",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604393729",
            "country_code": "US",
            "telephone_number": "815-450-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.