FURRUNNECIA NEWBERRY LCPC
NPI 1104304120
Counselor - Professional in Rockford, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Furrunnecia Newberry Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Furrunnecia Newberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95119
- Reassigned Medicare billing, Illinois enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Furrunnecia Newberry's NPI number?
The NPI number for Furrunnecia Newberry is 1104304120. It was assigned to this individual provider in the NPPES registry on August 1, 2018.
Where is Furrunnecia Newberry located?
Furrunnecia Newberry practices at 1601 University Dr, Rockford, IL 61107. The listed phone number is (815) 391-1000.
What is Furrunnecia Newberry's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Furrunnecia Newberry enrolled in Medicare?
Yes. Furrunnecia Newberry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Furrunnecia Newberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Furrunnecia Newberry reassigns Medicare benefits to Sondermind PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Furrunnecia Newberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Furrunnecia Newberry was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Furrunnecia Newberry, LCPC · NPI 1104304120
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since August 1, 2018.
## Identity
- **NPI:** 1104304120 (Entity type: Individual)
- **Enumerated:** August 1, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 UNIVERSITY DR, Rockford, IL 61107-5317
- **Phone:** (815) 391-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind PC (NPI 1003646977, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104304120) · Data from the CMS NPPES public registry.