Organization Active NPI

Rock River Counseling Center

  • Professional Counselor
  • Rockford, IL
National Provider Identifier
1720780950
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROCK RIVER COUNSELING CENTER
Practice address
4615 E State St Ste 201
Rockford, IL 61108-2158
Phone
(608) 313-4714
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Rachel SchultzNPI 1871094870
Title
Owner
Phone
(608) 313-4714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4615 E State St Ste 201
Rockford, IL 61108-2158

Mailing address

4615 E State St Ste 201
Rockford, IL 61108-2158
Phone (608) 313-4714

Other practice location 1

1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440
Phone (608) 313-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624000044 IL Part B Supplier - Clinic/Group Practice 3577006279 Receives reassigned benefits from 2 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

4615 E State St
Ste 201
Rockford, IL 61108
Phone (608) 313-4714

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1720780950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 E STATE ST STE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082158",
            "telephone_number": "608-313-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 E STATE ST STE 201",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082158",
            "telephone_number": "608-313-4714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1639 N Alpine Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611071440",
            "country_code": "US",
            "telephone_number": "608-313-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCK RIVER COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-313-4714"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.