FURRUNNECIA NEWBERRY LCPC
NPI 1104304120
Counselor - Professional in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since August 01, 2018PECOS Enrolled

1601 UNIVERSITY DR, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2021, Aug 1, 2018 (2 updates tracked since 2018).

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About Furrunnecia Newberry Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FURRUNNECIA NEWBERRY LCPC (NPI 1104304120) is an individual professional provider in Rockford, Illinois and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104304120

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameFURRUNNECIA NEWBERRYCredential: LCPC

Location Address1601 UNIVERSITY DRRockford, IL 61107-5317

Mailing Address142 Summit Street, 1nRockford, IL 61107 · (815) 954-2781

Phone(815) 391-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 1, 2018

Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1104304120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

1601 UNIVERSITY DR, Rockford, IL 61107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Furrunnecia Newberry Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961882667

PECOS Enrollment IDI20251027002744

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.