Active NPI
Releve Counseling LLC
- Professional Counselor
- Rockford, IL
National Provider Identifier
1982350252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- RELEVE COUNSELING LLC
- Practice address
- 4615 E State St Ste 204
Rockford, IL 61108-2158 - Phone
- (815) 708-9068
- Fax
- (779) 970-5908
- NPI assigned
- Feb 25, 2022
- 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
- Joanna Marie De Leon, MS, LCPC
- Title
- Owner/Clinical Supervisor
- Phone
- (815) 708-9068
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4615 E State St Ste 204
Rockford, IL 61108-2158
Mailing address
4615 E State St Ste 204
Rockford, IL 61108-2158
Phone (815) 708-9068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4615 E State St
Ste 204
Rockford, IL 61108
Phone (815) 708-9068
1491 S Bell School Rd
Ste 4
Rockford, IL 61108
Phone (779) 220-0123
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rockford, IL
- NPI 1588308597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1982350252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 E STATE ST STE 204",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082158",
"telephone_number": "815-708-9068",
"fax_number": "779-970-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 E STATE ST STE 204",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082158",
"telephone_number": "815-708-9068",
"fax_number": "779-970-5908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELEVE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-25",
"last_updated": "2024-04-30",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "JOANNA MARIE",
"authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "815-708-9068",
"authorized_official_credential": "MS, LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"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 Apr 30, 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.