| Sinnissippi Centers, Inc. | |
|
1321 N 7th St Rochelle IL 61068-1185 | |
| (815) 562-3801 | |
| (815) 562-4481 |
| Full Name | Sinnissippi Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1321 N 7th St, Rochelle, Illinois |
| Authorized Official Name and Position | Teresa Good (VP/CFO) |
| Authorized Official Contact | 8152846611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinnissippi Centers, Inc. 325 Il Route 2 Dixon IL 61021-9118 Ph: (815) 284-6611 | Sinnissippi Centers, Inc. 1321 N 7th St Rochelle IL 61068-1185 Ph: (815) 562-3801 |
| NPI Number | 1407143837 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 3476459876 |
|---|---|
| Medicare Enrollment ID | O20031208000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407143837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Thomas Dennison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588673719 PECOS PAC ID: 8729987276 Enrollment ID: I20040105000473 |
| Provider Name | Aqeel Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20041104000952 |
| Provider Name | Cristina L Mugrage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306804281 PECOS PAC ID: 8729082300 Enrollment ID: I20060913000359 |
| Provider Name | James J Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770678880 PECOS PAC ID: 6406953546 Enrollment ID: I20070524000049 |
| Provider Name | Cheryl H Culen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972796266 PECOS PAC ID: 7315020161 Enrollment ID: I20080216000099 |
| Provider Name | Thomas James Hermes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992814792 PECOS PAC ID: 0446375190 Enrollment ID: I20100917000564 |
| Provider Name | Margaret A Lafever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629224399 PECOS PAC ID: 8921292533 Enrollment ID: I20101027001300 |
| Provider Name | Jorge E Fernald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912056326 PECOS PAC ID: 5698962165 Enrollment ID: I20101209000544 |
| Provider Name | Debbie L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518256635 PECOS PAC ID: 0648456129 Enrollment ID: I20110518000020 |
| Provider Name | Syed Imran Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922236835 PECOS PAC ID: 8729255971 Enrollment ID: I20120111000803 |
| Provider Name | Katie L Hazek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043519275 PECOS PAC ID: 3274776935 Enrollment ID: I20130827000918 |
| Provider Name | Dara N Pumphrey-ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215258876 PECOS PAC ID: 3779708680 Enrollment ID: I20140709002347 |
| Provider Name | Jacqueline Jones Toal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488697 PECOS PAC ID: 8628358843 Enrollment ID: I20161206000365 |
| Provider Name | Ashley E Koza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861749673 PECOS PAC ID: 9133491855 Enrollment ID: I20170815004409 |
| Provider Name | Abigayl Frields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053894238 PECOS PAC ID: 4486991312 Enrollment ID: I20190130001077 |
| Provider Name | Ashley N Siepka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356796304 PECOS PAC ID: 6800135500 Enrollment ID: I20190225000570 |
| Provider Name | Alison Boothe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750691192 PECOS PAC ID: 9739429051 Enrollment ID: I20190325001674 |
| Provider Name | Connie K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598883902 PECOS PAC ID: 1456693159 Enrollment ID: I20190429002881 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20200123001417 |
| Provider Name | Michael J Colston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679553853 PECOS PAC ID: 6002245370 Enrollment ID: I20200408000238 |
| Provider Name | Katie Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497274450 PECOS PAC ID: 2264848894 Enrollment ID: I20210306000019 |
| Provider Name | Amber Lynn Duitsman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215423421 PECOS PAC ID: 3476957325 Enrollment ID: I20210813002547 |
| Provider Name | Maggie Monnier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720664923 PECOS PAC ID: 9234535816 Enrollment ID: I20210907002484 |
| Provider Name | Derenda Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120343 PECOS PAC ID: 3072934512 Enrollment ID: I20220418002180 |
| Provider Name | Susan Elizabeth Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659705739 PECOS PAC ID: 5597152272 Enrollment ID: I20220427002214 |
| Provider Name | Bryn M Slager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669013967 PECOS PAC ID: 1759760838 Enrollment ID: I20220621000436 |
| Provider Name | Brooke Michelle Dugger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467863878 PECOS PAC ID: 3375919384 Enrollment ID: I20221017001307 |
| Provider Name | Ashley Lynn Bartlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467957811 PECOS PAC ID: 6103294194 Enrollment ID: I20221123000126 |
| Provider Name | Kourtnee Jo Mezo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356885925 PECOS PAC ID: 8729459680 Enrollment ID: I20230201000813 |
| Provider Name | Angele S Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497150908 PECOS PAC ID: 7214309798 Enrollment ID: I20230209001332 |
| Provider Name | Melissa Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093149452 PECOS PAC ID: 6507238011 Enrollment ID: I20230209002735 |
| Provider Name | Charis J Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316395346 PECOS PAC ID: 7214395953 Enrollment ID: I20230628000604 |
| Provider Name | Milind N Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710249024 PECOS PAC ID: 4587807730 Enrollment ID: I20231031003008 |
| Provider Name | Tiffany Chander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295500205 PECOS PAC ID: 6709235997 Enrollment ID: I20231213002511 |
| Provider Name | Melissa Heisner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477102556 PECOS PAC ID: 4587014295 Enrollment ID: I20231221000707 |
| Provider Name | Laura Belle Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437675386 PECOS PAC ID: 7517316458 Enrollment ID: I20231229000764 |
| Provider Name | Amanda Kay Vandover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447734074 PECOS PAC ID: 3971952870 Enrollment ID: I20240102000200 |
| Provider Name | Kristen Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043529886 PECOS PAC ID: 1052760915 Enrollment ID: I20240102002398 |
| Provider Name | Lynnsey Worrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669246633 PECOS PAC ID: 2668821893 Enrollment ID: I20240102003521 |
| Provider Name | Abijah Yelena Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720737984 PECOS PAC ID: 7315397361 Enrollment ID: I20240103001864 |
| Provider Name | Inga H Neuner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467969261 PECOS PAC ID: 2567812084 Enrollment ID: I20240103003741 |
| Provider Name | Chelsea L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184187692 PECOS PAC ID: 4880045673 Enrollment ID: I20240105001384 |
| Provider Name | Tyler Inghram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811500390 PECOS PAC ID: 6608226212 Enrollment ID: I20240112001610 |
| Provider Name | Michael A White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821303157 PECOS PAC ID: 3779934815 Enrollment ID: I20240112002259 |
| Provider Name | Jessica Lynn Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831592906 PECOS PAC ID: 5991155590 Enrollment ID: I20240122000465 |
| Provider Name | April Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437587441 PECOS PAC ID: 5890144786 Enrollment ID: I20240122001149 |
| Provider Name | Amy Sue Drew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912023409 PECOS PAC ID: 8820448749 Enrollment ID: I20240122002120 |
| Provider Name | Nikki Principato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538717210 PECOS PAC ID: 1557710431 Enrollment ID: I20240124002256 |
| Provider Name | Rebecca Ann Johanning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811295736 PECOS PAC ID: 4284084120 Enrollment ID: I20240124003043 |
| Provider Name | Amanda S Rousonelos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235628975 PECOS PAC ID: 7416390265 Enrollment ID: I20240208001279 |
| Provider Name | Joshua Vos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750956033 PECOS PAC ID: 2860842218 Enrollment ID: I20240228003706 |
| Provider Name | Meghan Pearl Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710607437 PECOS PAC ID: 2062861966 Enrollment ID: I20240329002562 |
| Provider Name | Alexandra Delgado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043060254 PECOS PAC ID: 2365880648 Enrollment ID: I20240405000215 |
| Provider Name | Abigail Vidal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174109284 PECOS PAC ID: 8527419571 Enrollment ID: I20240410000438 |
Sinnissippi Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Fairview Dr, Rochelle, IL 61068 Phone: 815-561-9003 Fax: 815-562-6692 | |
Sinnissippi Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N 7th St, Rochelle, IL 61068 Phone: 815-562-3801 Fax: 815-562-4481 | |
Transformative Growth Counseling Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 6th Ave, Suite 8, Rochelle, IL 61068 Phone: 630-423-6010 |