Active NPI
Victoria Malinowski
- Mental Health Counselor
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncAspen Counseling and Consulting LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Counseling & Consulting LLC | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Aspen Counseling and Consulting LLC | Current | Accepting new patients | |
| Rosecrance Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
IL
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1407287394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.