Individual provider Active NPI

Victoria Malinowski

  • Mental Health Counselor
  • Rockford, IL
National Provider Identifier
1780277129
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2704 N Main St
Rockford, IL 61103-3112
Phone
(815) 720-5012
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

2704 N Main St
Rockford, IL 61103-3112

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3874
Phone (815) 720-5012

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801001796 IL Practitioner - Clinical Social Worker 5991242463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosecrance Inc 33 clinicians
Aspen Counseling and Consulting LLC 13 clinicians

Practice addresses (Care Compare)

1601 N University Dr
Rockford, IL 61107-5317
Phone (815) 387-2500

2704 N Main St
Rockford, IL 61103-3112
Phone (815) 332-8003

8616 Northern Ave
Rockford, IL 61107-5309
Phone (815) 399-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Counseling & Consulting LLC CurrentSince Jun 21, 2024 Accepting new patients
Rosecrance Inc CurrentSince May 13, 2024 Accepting new patients
Aspen Counseling and Consulting LLC CurrentSince Jun 21, 2024 Accepting new patients
Rosecrance Inc CurrentSince May 13, 2024 Accepting new patients

Locations

8616 Northern Ave
Rockford, IL 61107
Phone (815) 332-8003

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

2704 N Main St
Rockford, IL 61103
Phone (815) 720-5012

Organizations & group practices 4

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1780277129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073874",
            "telephone_number": "815-720-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033112",
            "telephone_number": "815-720-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.