TIMOTHY SUNDARAM SANKARAN QMHP, MA, LPC
NPI 1114870821
Counselor - Mental Health in Rockford, IL
Active since February 20, 2026
About Timothy Sundaram Sankaran Qmhp, Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY SUNDARAM SANKARAN QMHP, MA, LPC (NPI 1114870821) is an individual mental health provider in Rockford, Illinois, licensed in Illinois (178022761) and active in the NPI registry since February 2026.
NPPES Registry Identity
NPI1114870821
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY SUNDARAM SANKARANCredential: QMHP, MA, LPC
Location Address2704 N MAIN STRockford, IL 61103-3112
Mailing Address2704 N Main StRockford, IL 61103-3112 · (815) 332-6027
Phone(815) 332-6027
Sole ProprietorNo
Enumeration DateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1114870821 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178022761
2704 N MAIN ST, Rockford, IL 61103
Other Names 1
Other Name (5)Tim Sundaram Sankaran Qmhp, Ma, Lpc
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.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2704 N MAIN ST
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Counselor (Addiction (Substance Use Disorder))
2704 N MAIN ST
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114870821, enumerated as an "individual" on February 20, 2026.
The provider is located at 2704 N MAIN ST ROCKFORD, IL 61103 and the phone number is (815) 332-6027.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
