NPIMap

Organization Active NPI

Stepping Stones of Rockford, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
National Provider Identifier
1942870928
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STEPPING STONES OF ROCKFORD, INC.
Practice address
4317 Maray Dr
Rockford, IL 61107-4967
Phone
(815) 963-0883
NPI assigned
Jun 30, 2021
Organization subpart
Yes
Parent organization
STEPPING STONES OF ROCKFORD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Candice O'Brien
Title
Director of Finance
Phone
(815) 963-0683

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

4317 Maray Dr
Rockford, IL 61107-4967

Mailing address

706 N Main St
Rockford, IL 61103-6904
Phone (815) 963-0683

National Provider Directory

National Provider Directory
Tax ID family
Stepping Stones of Rockford14 organizations share this tax ID, including this one
Part of
Stepping Stones of Rockford

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

4317 Maray Dr
Rockford, IL 61107
Phone (779) 770-5605

706 N Main St
Rockford, IL 61103

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1942870928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036904",
            "telephone_number": "815-963-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 MARAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074967",
            "telephone_number": "815-963-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES OF ROCKFORD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPPING STONES OF ROCKFORD, INC.",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "815-963-0683"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 25, 2024; 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.