Withu Counseling Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WITHU COUNSELING GROUP LLC

Practice address

7210 E State St
Rockford, IL 61108-2622

Phone

(815) 839-2064

Fax

(815) 839-2114

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Collene Taylor, ED.DNPI 1306118120

Title

Owner

Phone

(414) 630-0375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Collene Taylor, L.C.P.C.

  • Professional Counselor
  • Rockford, IL
  • NPI 1306118120
  Medicare reassignment NPD Authorized official
• Leon B Black, MSW LCSW CCBT CPTP

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1790793198

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1790447332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-839-2064",
            "fax_number": "815-839-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-839-2064",
            "fax_number": "815-839-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHU COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "COLLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-630-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wire, FNP-BC
• Laura Jill Wirfs, RN, NP
• Kurtis E Wirth, DDS
• Nathan P Wisbey, DPT
• Alyssa Wisnefsky, PNP
• Jodi E Witte, RD,LDN
• Vanessa Ann Dal Pra Wochner, P.T.
• Deborah Wodell, CNM
• Kathleen E Wodrich, APRN
• Lindsay Wohrley, NP

• Mental Health Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.