Rosecrance Inc - Medicare Mental Health Clinic in Rockford, IL

Rosecrance Inc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Rockford, Illinois. The current practice location for Rosecrance Inc is 1021 N Mulford Rd, Rockford, Illinois. For appointments, you can reach them via phone at (815) 391-1000. The mailing address for Rosecrance Inc is 1021 N Mulford Rd, Rockford, Illinois and phone number is (815) 391-1000.

Rosecrance Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013289446. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 391-1000.

Contact Information

Rosecrance Inc
1021 N Mulford Rd
Rockford
IL 61107-3877
(815) 391-1000
(815) 316-4726

Map and Direction


Mental Health Clinic Profile

Full NameRosecrance Inc
SpecialityClinic/Center
Location1021 N Mulford Rd, Rockford, Illinois
Authorized Official Name and PositionPhilip W Eaton (PRESIDENT / CEO)
Authorized Official Contact8153911000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rosecrance Inc
1021 N Mulford Rd
Rockford
IL 61107-3877

Ph: (815) 391-1000
Rosecrance Inc
1021 N Mulford Rd
Rockford
IL 61107-3877

Ph: (815) 391-1000

NPI Details:

NPI Number1013289446
Provider Enumeration Date02/01/2012
Last Update Date05/21/2013

Medicare PECOS Information:

Medicare PECOS PAC ID3779656582
Medicare Enrollment IDO20130502000371

Medical Identifiers

Medical identifiers for Rosecrance Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013289446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rosecrance Inc acts as a billing entity for following providers:
Provider NameRichard Jaconette
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578785432
PECOS PAC ID: 3971408915
Enrollment ID: I20031203000630
Provider NameAlvydas J Baris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821029091
PECOS PAC ID: 7012800444
Enrollment ID: I20040207000258
Provider NameReginald A Givens
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568533701
PECOS PAC ID: 5597655316
Enrollment ID: I20040317000046
Provider NameAdrienne L Adams
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578661781
PECOS PAC ID: 9830186741
Enrollment ID: I20040430000368
Provider NameMehtab Mizan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104976380
PECOS PAC ID: 8123003548
Enrollment ID: I20040621001052
Provider NameCarrie L Sharkey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295725323
PECOS PAC ID: 1153394556
Enrollment ID: I20040813001257
Provider NameCarol J Claxon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487927372
PECOS PAC ID: 3577536465
Enrollment ID: I20040818000754
Provider NameTherese M Lucietto-sieradzki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699708636
PECOS PAC ID: 5395706774
Enrollment ID: I20041019001296
Provider NameKathleen A Kessler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396808390
PECOS PAC ID: 1355381765
Enrollment ID: I20050505000149
Provider NameDesiree A Rahman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871679522
PECOS PAC ID: 3971549718
Enrollment ID: I20050701000717
Provider NameNarain D Mandhan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730170655
PECOS PAC ID: 7517852767
Enrollment ID: I20051228000257
Provider NameAlice F Amro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215994322
PECOS PAC ID: 3274556774
Enrollment ID: I20060111000321
Provider NameMichael A Kuna
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1750345872
PECOS PAC ID: 3072587682
Enrollment ID: I20060207000082
Provider NameShahina H Jafry
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053383737
PECOS PAC ID: 8729097829
Enrollment ID: I20060418000712
Provider NameDennis R Brightwell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841288420
PECOS PAC ID: 4981615028
Enrollment ID: I20060605000250
Provider NameUma Srivastava
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194815290
PECOS PAC ID: 9537253729
Enrollment ID: I20070919000280
Provider NameGail Y Brick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679724561
PECOS PAC ID: 0840353603
Enrollment ID: I20090106000434
Provider NameJohn D Benton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639358039
PECOS PAC ID: 3072679729
Enrollment ID: I20090304000235
Provider NameLinda S Culton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639250848
PECOS PAC ID: 9537209143
Enrollment ID: I20091211000539
Provider NameChandragupta Vedak
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871592881
PECOS PAC ID: 0244305233
Enrollment ID: I20101026000754
Provider NameEvan C Silvi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891988010
PECOS PAC ID: 6507052412
Enrollment ID: I20101117001593
Provider NameJoseph M Neubauer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801896329
PECOS PAC ID: 8022168137
Enrollment ID: I20101122001143
Provider NameJorge E Fernald
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912056326
PECOS PAC ID: 5698962165
Enrollment ID: I20101209000544
Provider NameRaymond Garcia
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245217959
PECOS PAC ID: 5799973921
Enrollment ID: I20110103000546
Provider NameLynn Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295039873
PECOS PAC ID: 5597948109
Enrollment ID: I20110318000832
Provider NameEric R Onsgard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043566094
PECOS PAC ID: 6103069067
Enrollment ID: I20130826000715
Provider NameCarol L Craig
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083836928
PECOS PAC ID: 0547482952
Enrollment ID: I20141119000215
Provider NameThomas E Wright
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639182868
PECOS PAC ID: 6406857507
Enrollment ID: I20150723006767
Provider NameSherry T Aleksich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114173523
PECOS PAC ID: 3870652225
Enrollment ID: I20151223000181
Provider NameKimberleigh Hagar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205254760
PECOS PAC ID: 7911202882
Enrollment ID: I20160302000213
Provider NameChristine L Grundeman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235438417
PECOS PAC ID: 6002112380
Enrollment ID: I20160314000003
Provider NameMelissa M Bachelder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659743946
PECOS PAC ID: 2062700701
Enrollment ID: I20161012000355
Provider NameAmy Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689927766
PECOS PAC ID: 8820387913
Enrollment ID: I20161102002757
Provider NameJulie A Worley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285613059
PECOS PAC ID: 5395787261
Enrollment ID: I20170124000524
Provider NameLivia L Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215290101
PECOS PAC ID: 0042462277
Enrollment ID: I20170208002751
Provider NameLisa Chico
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417366394
PECOS PAC ID: 1254698798
Enrollment ID: I20171208000048
Provider NameKristen Lynn Brokaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851806335
PECOS PAC ID: 4284993791
Enrollment ID: I20180108003103
Provider NameCarol Bradford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275041758
PECOS PAC ID: 1759644396
Enrollment ID: I20180413000920
Provider NameLynne A Schweppe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821391640
PECOS PAC ID: 6103095047
Enrollment ID: I20190409000168
Provider NamePaige Lynn Ryan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184059859
PECOS PAC ID: 7618219122
Enrollment ID: I20190503000088
Provider NameAlecia Lanette Greenlee
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487072922
PECOS PAC ID: 4688977325
Enrollment ID: I20190708001233
Provider NameAyesha K Ashai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174866800
PECOS PAC ID: 4082912209
Enrollment ID: I20190722001232
Provider NameCandice J Holder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376976530
PECOS PAC ID: 9032353206
Enrollment ID: I20190730000172
Provider NameSolomon G Zaraa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619170990
PECOS PAC ID: 3173715000
Enrollment ID: I20191028002315
Provider NameLaura L Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417502253
PECOS PAC ID: 5991037574
Enrollment ID: I20191031001176
Provider NameSalman Kazim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154437457
PECOS PAC ID: 1153410360
Enrollment ID: I20200123001417
Provider NameSophie Mbua
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811534902
PECOS PAC ID: 4688002314
Enrollment ID: I20200311002817
Provider NameDebra Corrigan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043582273
PECOS PAC ID: 3577987502
Enrollment ID: I20200722003484
Provider NameViengkeo Chanthaloth- Phasouk
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366920811
PECOS PAC ID: 1153748447
Enrollment ID: I20200901002564
Provider NameShannon Marie Ferriter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417435652
PECOS PAC ID: 5496169666
Enrollment ID: I20210129000305
Provider NameLindsey Stewart
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689036758
PECOS PAC ID: 0042599227
Enrollment ID: I20210722002921
Provider NameRyan M Sheehan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235697954
PECOS PAC ID: 1456755776
Enrollment ID: I20210810000176
Provider NameChristopher Lombardi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578097846
PECOS PAC ID: 3072910942
Enrollment ID: I20210920000991
Provider NameIan Powell
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1346212545
PECOS PAC ID: 3274528591
Enrollment ID: I20211005003208
Provider NameCynthia Clark Cushman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518934884
PECOS PAC ID: 9931146743
Enrollment ID: I20211118000060
Provider NameJoshua Ackerman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548677974
PECOS PAC ID: 7719297407
Enrollment ID: I20221221000642
Provider NameBlaine Minton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700224250
PECOS PAC ID: 4385885854
Enrollment ID: I20221221002411
Provider NameTaylor Pasquale
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295336634
PECOS PAC ID: 0345613550
Enrollment ID: I20230308001213
Provider NameDorothy Deette Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497883169
PECOS PAC ID: 4587757042
Enrollment ID: I20230327002200
Provider NamePuneet Lakhmani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760046049
PECOS PAC ID: 1557694338
Enrollment ID: I20230405001810
Provider NameMackenzie Christine Collins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821713322
PECOS PAC ID: 9638544570
Enrollment ID: I20230407000466
Provider NameMunjerina Ahmd Munmun
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295149920
PECOS PAC ID: 7315300530
Enrollment ID: I20230905003435
Provider NameChristina A Schneider
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528660867
PECOS PAC ID: 3779939525
Enrollment ID: I20231031000117
Provider NameMelissa Lee
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124504428
PECOS PAC ID: 2163872359
Enrollment ID: I20240101000092
Provider NameLori A Stanton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1396874319
PECOS PAC ID: 2163872375
Enrollment ID: I20240102000077
Provider NameCindy B Fisher
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558608687
PECOS PAC ID: 5395196299
Enrollment ID: I20240104002833
Provider NameCarli Boyer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1699225854
PECOS PAC ID: 2466803317
Enrollment ID: I20240104004549
Provider NameAmber Vowles
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477825990
PECOS PAC ID: 0941652705
Enrollment ID: I20240117001444
Provider NameHolly Brun
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013493410
PECOS PAC ID: 2163874934
Enrollment ID: I20240117001706
Provider NameAlexandra Kane
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124418314
PECOS PAC ID: 8224480074
Enrollment ID: I20240117004335
Provider NameHeather Fisher
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285156406
PECOS PAC ID: 1557713799
Enrollment ID: I20240123003828
Provider NameKim Shird
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205873460
PECOS PAC ID: 1355784943
Enrollment ID: I20240212000516
Provider NameKristie L Miller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689209736
PECOS PAC ID: 2769825363
Enrollment ID: I20240212000728
Provider NameKathy Lynn Finley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417011412
PECOS PAC ID: 9234573551
Enrollment ID: I20240214003650
Provider NamePatrick Miranda
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831790617
PECOS PAC ID: 0446694798
Enrollment ID: I20240215000262
Provider NameDavid M. Kellerhals
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780984237
PECOS PAC ID: 0749625804
Enrollment ID: I20240228002099
Provider NameRobert Laib
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043435910
PECOS PAC ID: 2062851405
Enrollment ID: I20240417002658
Provider NameSteven J Bloomfield
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1194927194
PECOS PAC ID: 0840732756
Enrollment ID: I20240606003487
Provider NameMaria Chinweze Enujiofor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598230146
PECOS PAC ID: 0143762948
Enrollment ID: I20240607002977
Provider NameRobert Lewis Stymets
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093053316
PECOS PAC ID: 3971045527
Enrollment ID: I20240611001046
Provider NameDanielle Murphy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437769841
PECOS PAC ID: 2769925106
Enrollment ID: I20240613003426

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.