Organization Active NPI

Becoming Free Counseling Services PLLC

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1972379535
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Ashley Phillips, LCSWNPI 1427482397
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240216003053 IL Part B Supplier - Clinic/Group Practice 8729422860 Receives reassigned benefits from 3 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.