Loan Nguyen Korolczuk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.014666 Issued in IL

Practice address

6066 Strathmoor Dr # C2
Rockford, IL 61107-6633

Phone

(779) 800-5881

Fax

(815) 399-9306

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Loan Tuong Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cairo Counseling & Associates PLLC

  • Professional Counselor
  • Schaumburg, IL
  • NPI 1851165203
  NPD (past)
• Transformations Counseling PLLC

  • Professional Counselor
  • Rockford, IL
  • NPI 1932685542

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1831650407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 STRATHMOOR DR # C2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076633",
            "telephone_number": "779-800-5881",
            "fax_number": "815-399-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 STRATHMOOR DR # C2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076633",
            "telephone_number": "779-800-5881",
            "fax_number": "815-399-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 US Highway 14 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600122700",
            "country_code": "US",
            "telephone_number": "779-800-5881",
            "fax_number": "815-399-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOROLCZUK",
        "first_name": "LOAN",
        "middle_name": "NGUYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOAN",
            "last_name": "NGUYEN",
            "middle_name": "TUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth J Korcek, M.D.
• Susan A Korf, N.P.
• Timothy N. Koritz, MD
• Mete Korkmaz, M.D.
• Allan R. Kornfeld, MD
• Radhika Kosaraju, MD
• Nidhi Bakul Kotak, D.D.S.
• Jane Lynn Kotecki, MD
• Gary T. Koteles, OD
• Azhar Kothawala, M.D.

• 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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.