Bluestem Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUESTEM COUNSELING, PLLC

Practice address

6085 Strathmoor Dr Ste 1C
Rockford, IL 61107-6636

Phone

(154) 350-9078

Fax

(815) 435-5251

NPI assigned

Nov 19, 2021

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Kindler, LCSWNPI 1275937203

Title

Owner

Phone

(815) 435-0907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Kindler, LCSW

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1275937203
  Authorized official Same address or phone

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1982361333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 VALE AVE N",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 STRATHMOOR DR STE 1C",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076636",
            "telephone_number": "154-350-9078",
            "fax_number": "815-435-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "KINDLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-435-0907",
        "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": []
}

• Douglas Alan Blazer, PA
• Andrew Jay Blint, M.D.
• Kevin T Block Jr., PHARMD
• Bloom Therapeutics, LLC
• Bluebird Counseling and Psychotherapy
• Board of Trustees of the University of Illinois (University Medical Services at Parkview)
• Board of Trustees of the University of Illinois (UIC Women & Children's Health Center)
• Board of Trustees of the University of Illinois (University Clinic at Blackhawk)
• Board of Trustees of the University of Illinois (University Allergy & Asthma)
• Board of Trustees of the University of Illinois (University Psychiatric Clinic)

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.