Active NPI
Anne Ellen De Verneuil, MA, CADC
- Professional Counselor
- Rockford, IL
National Provider Identifier
1700044724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178003248
- Practice address
- 5804 Elaine Dr
Rockford, IL 61108-2435 - Phone
- (815) 397-7654
- Fax
- (815) 397-2712
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178003248 | IL | Primary |
Addresses
Primary practice location
5804 Elaine Dr
Rockford, IL 61108-2435
Mailing address
5804 Elaine Dr
Rockford, IL 61108-2435
Phone (815) 397-7654
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 Arnold Ave
Rockford, IL 61108-2315
Phone (815) 397-5531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178003248 | IL | MD | Professional Counselor |
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.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1700044724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 ELAINE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082435",
"telephone_number": "815-397-7654",
"fax_number": "815-397-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5804 ELAINE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082435",
"telephone_number": "815-397-7654",
"fax_number": "815-397-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERNEUIL",
"first_name": "ANNE",
"middle_name": "ELLEN",
"credential": "MA, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178003248",
"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 Jun 5, 2026; 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.