Thomas Frederick Butler, MS,LCPC,CA-DC,CDOP-I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007849 Issued in IL

Practice address

129 Phelps Ave Suite 304
Rockford, IL 61108-2421

Phone

(815) 519-6382

Fax

(815) 708-0094

NPI assigned

Sep 25, 2011

Last updated

Feb 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Geiger Psychiatric Care LLCGroup PAC ID 1557312154, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geiger Psychiatric Care LLC

  dba Magnolia Mental Health Clinic

  • Psychiatry Physician
  • Loves Park, IL
  • NPI 1043356595
  Medicare reassignment Care Compare group NPD
• Progressive Chiropractic Wellness & Rehab Centre, P.C.

  • Point of Service
  • Loves Park, IL
  • NPI 1023206265
  NPD (past)

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1922381037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE SUITE 304",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082421",
            "telephone_number": "815-519-6382",
            "fax_number": "815-708-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE SUITE 304",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082421",
            "telephone_number": "815-519-6382",
            "fax_number": "815-708-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "FREDERICK",
        "credential": "MS,LCPC,CA-DC,CDOP-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-25",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Bush, DPM
• Zachary W Bussen, PA-C
• Debbie Kay Butler, SLP
• Jenny Megan Butler, PT
• Martin Butler, MD
• Maximilian Button, FNP
• Susan Jane Buzzard, MS
• Sean Byrne, LPC
• Brenda Byrnewilson, LCPC
• David G Cable, M.D.

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.

Verify at the official NPI Registry.