CHUNRONG ZHAO
NPI 1104367838
Marriage & Family Therapist in Galesburg, IL

Active since March 14, 2017PECOS Enrolled
292 N CHAMBERS ST, GALESBURG, IL 61401(309) 342-1136 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chunrong Zhao NPPES

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

CHUNRONG ZHAO (NPI 1104367838) is an individual marriage & family therapist in Galesburg, Illinois and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104367838
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHUNRONG ZHAO
Location Address292 N CHAMBERS STGalesburg, IL 61401-3835
Mailing Address292 N Chambers StGalesburg, IL 61401-3835
Sole ProprietorNo
Enumeration DateMarch 14, 2017
✔ NPI 1104367838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
292 N CHAMBERS ST, Galesburg, IL 61401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chunrong Zhao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Chunrong Zhao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1361 W FREMONT ST
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 6 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
292 N CHAMBERS ST
GALESBURG, IL 61401
Community/Behavioral Health
292 N CHAMBERS ST
GALESBURG, IL 61401
Clinic/Center (Mental Health (Including Community Mental Health Center))
292 N CHAMBERS ST
GALESBURG, IL 61401
Marriage & Family Therapist
292 N CHAMBERS ST
GALESBURG, IL 61401

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 Chunrong Zhao's NPI number?

The NPI number for Chunrong Zhao is 1104367838. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Chunrong Zhao located?

Chunrong Zhao practices at 292 N Chambers St, Galesburg, IL 61401. The listed phone number is (309) 342-1136.

What is Chunrong Zhao's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Chunrong Zhao enrolled in Medicare?

Yes. Chunrong Zhao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chunrong Zhao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chunrong Zhao reassigns Medicare benefits to Knox Community Health Center Nfp (Galesburg, IL). 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 Chunrong Zhao'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 Chunrong Zhao was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.