Organization · Type 2 NPI
Beacon of Enlightenment
Counselor · Rockford, IL
NPI number
1376200550
Active
Practice location
6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829
Fax (779) 423-0778
Mailing address
451 Coventry Ln Ste 100
Crystal Lake, IL 60014-7589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5 other providers at this address
- Kalm Oasis Therapy LLCProfessional Counselor Rockford, IL NPI 1609729656
- Kevin ThomasProfessional Counselor Rockford, IL NPI 1245183052
- Mary C. Fairchild, LCSWClinical Social Worker Rockford, IL NPI 1588771265
- Monica Elise Iverson, MS, CADC QMHPAddiction (Substance Use Disorder) Counselor Rockford, IL NPI 1639024201
- William Cottie Weddle Jr.Mental Health Counselor Rockford, IL NPI 1447104393
Other counselor providers in Rockford
About NPI 1376200550
Beacon of Enlightenment's National Provider Identifier is 1376200550, issued on Nov 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rockford, IL. The record was last updated on Apr 14, 2025.