Todd D Burd, LCPC | |
6072 Brynwood Dr Ste 107a, Rockford, IL 61114-5829 | |
(779) 903-7625 | |
Not Available |
Full Name | Todd D Burd |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 6072 Brynwood Dr Ste 107a, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770975484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.011525 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.011525 (Illinois) | Primary |
Entity Name | Connected Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922631274 PECOS PAC ID: 7416398177 Enrollment ID: O20240513000331 |
Mailing Address | Practice Location Address |
---|---|
Todd D Burd, LCPC 6072 Brynwood Dr Ste 107a, Rockford, IL 61114-5829 Ph: (779) 903-7625 | Todd D Burd, LCPC 6072 Brynwood Dr Ste 107a, Rockford, IL 61114-5829 Ph: (779) 903-7625 |
Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684 | |
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000 | |
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621 | |
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003 | |
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000 | |
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979 | |
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172 |