Active NPI
Becoming Free Counseling Services PLLC
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1972379535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BECOMING FREE COUNSELING SERVICES PLLC
- Practice address
- 555 S Perryville Rd Ste 222
Rockford, IL 61108-2522 - Phone
- (815) 331-1023
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Phillips, LCSW
- Title
- Owner
- Phone
- (815) 978-9803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
555 S Perryville Rd Ste 222
Rockford, IL 61108-2522
Mailing address
7790 Nesting Eagles Rd
Machesney Park, IL 61115-8307
Other practice location 1
7790 Nesting Eagles Rd
Machesney Park, IL 61115-8307
Phone (815) 978-9803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
555 S Perryville Rd
Ste 222
Rockford, IL 61108
Phone (815) 331-1023
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Rockford, IL
- NPI 1255154019
-
- Social Worker
- Rockford, IL
- NPI 1750115069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1972379535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7790 NESTING EAGLES RD",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611158307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S PERRYVILLE RD STE 222",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082522",
"telephone_number": "815-331-1023"
}
],
"practiceLocations": [
{
"address_1": "7790 Nesting Eagles Rd",
"address_purpose": "LOCATION",
"city": "Machesney Park",
"state": "IL",
"postal_code": "611158307",
"country_code": "US",
"telephone_number": "815-978-9803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BECOMING FREE COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-978-9803",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 2, 2024; 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.