OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC
NPI 1235949553
Social Worker - Clinical in Rockford, IL

Active since January 09, 2025
6392 LINDEN RD, ROCKFORD, IL 61109(779) 368-0060(779) 368-0579 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2025, Jan 9, 2025 (2 updates tracked since 2025).

About Optum Behavioral Care Therapy Services Of Illinois Pc NPPES

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

OPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC (NPI 1235949553), doing business as Kp Counseling Of Illinois, is a healthcare organization registered as a clinical in Rockford, Illinois and active in the NPI registry since January 2025. The organization maintains 4 additional practice locations and lists Stacy Cloyd, Secretary, as its authorized official.

NPPES Registry Identity

NPI1235949553
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOPTUM BEHAVIORAL CARE THERAPY SERVICES OF ILLINOIS PC
Location Address6392 LINDEN RDRockford, IL 61109-2816
Mailing Address6392 Linden RdRockford, IL 61109-2816 · (779) 368-0060 · Fax (779) 368-0579
Fax(779) 368-0579
Organization SubpartNo
Authorized OfficialStacy CloydSecretary · (763) 330-4953
Enumeration DateJanuary 9, 2025
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1235949553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychologistTaxonomy 103T00000X
6392 LINDEN RD, Rockford, IL 61109

Other Names 1

Doing Business AsKp Counseling Of Illinois

Secondary Practice Locations 4

Location 14753 N Broadway St Ste 403Chicago, IL 60640-7910 · Phone (779) 368-0060 · Fax (779) 368-0579
Location 2695 N Perryville Rd Ste 4Rockford, IL 61107-6225 · Phone (779) 368-0060 · Fax (779) 368-0579
Location 3820 Davis St Ste 222Evanston, IL 60201-4445 · Phone (779) 368-0060 · Fax (779) 368-0579
Location 412151 Regency Pkwy Ste 12189Huntley, IL 60142-7644 · Phone (779) 368-0060 · Fax (779) 368-0579

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum Behavioral Care Therapy Services Of Illinois Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Optum Behavioral Care Therapy Services Of Illinois PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Mental Health Counselor11
Clinical Social Worker9
Marriage and Family Therapist3

Nearest to this location (20)

See all 23
Marriage and Family Therapist
NPI 1710346689
6392 LINDEN RD
Rockford, IL 61109
(779) 368-0060
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1366930406
6392 LINDEN RD
Rockford, IL 61109
(779) 368-0060
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1790477172
6392 LINDEN RD
Rockford, IL 61109
(815) 505-8810
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1619567385
6392 LINDEN RD
Rockford, IL 61109
(779) 368-0060
✔ PECOSSame address
Marriage and Family Therapist
NPI 1982883633
461 N MULFORD RD CONDO #1
Rockford, IL 61107
(815) 395-1141
✔ PECOS✔ Accepts Medicare3.8 mi
Marriage and Family Therapist
NPI 1083802540
461 N MULFORD RD CONDO #1
Rockford, IL 61107
(815) 395-1141
✔ PECOS✔ Accepts Medicare3.8 mi
Mental Health Counselor
NPI 1750818563
695 N PERRYVILLE RD STE 4
Rockford, IL 61107
(779) 368-0060
✔ PECOS✔ Accepts Medicare4.0 mi
Mental Health Counselor
NPI 1396415121
695 N PERRYVILLE RD STE 4
Rockford, IL 61107
(779) 368-0060
✔ PECOS✔ Accepts Medicare4.0 mi
Mental Health Counselor
NPI 1689189995
604 N MAIN ST
Rochelle, IL 61068
(815) 501-2088
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1669020905
1090 MCCONNELL RD
Woodstock, IL 60098
(815) 575-9675
✔ PECOS✔ Accepts Medicare30 mi
Mental Health Counselor
NPI 1063785947
1580 S MILWAUKEE AVE STE 420
Libertyville, IL 60048
(888) 726-7170
✔ PECOS✔ Accepts Medicare54 mi
Clinical Social Worker
NPI 1700585064
2043 BEECHWOOD AVE
Wilmette, IL 60091
(773) 391-0216
✔ PECOS✔ Accepts Medicare66 mi
Clinical Social Worker
NPI 1548879703
5044 N KOLMAR AVE
Chicago, IL 60630
(773) 206-4779
✔ PECOS66 mi
Clinical Social Worker
NPI 1316327836
1502 SOUTH BLVD
Evanston, IL 60202
(847) 530-8925
✔ PECOS✔ Accepts Medicare68 mi
Clinical Social Worker
NPI 1700240777
4803 N BELL AVE 3N
Chicago, IL 60625
(773) 531-8068
✔ PECOS✔ Accepts Medicare69 mi
Clinical Social Worker
NPI 1912320573
4659 N RAVENSWOOD AVE SUITE 101
Chicago, IL 60640
(312) 600-8204
✔ PECOS✔ Accepts Medicare70 mi
Clinical Social Worker
NPI 1962946541
4753 N BROADWAY ST STE 403
Chicago, IL 60640
(739) 892-7807
✔ PECOS✔ Accepts Medicare71 mi
Mental Health Counselor
NPI 1669013843
310 W CHICAGO AVE
Chicago, IL 60654
(312) 943-6545
✔ PECOS✔ Accepts Medicare73 mi
Mental Health Counselor
NPI 1134492796
1620 N LASALLE ST
Chicago, IL 60614
(312) 943-3600
✔ PECOS✔ Accepts Medicare73 mi
Mental Health Counselor
NPI 1790397826
40 E 9TH ST APT 417
Chicago, IL 60605
(773) 203-5164
✔ PECOS74 mi
See all 23 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optum Behavioral Care Therapy Services Of Illinois PC's NPI number?

The NPI number for Optum Behavioral Care Therapy Services Of Illinois PC is 1235949553. It was assigned to this organization in the NPPES registry on January 9, 2025. The provider is doing business as KP Counseling of Illinois.

Where is Optum Behavioral Care Therapy Services Of Illinois PC located?

Optum Behavioral Care Therapy Services Of Illinois PC is located at 6392 Linden Rd, Rockford, IL 61109. The listed phone number is (779) 368-0060.

What is Optum Behavioral Care Therapy Services Of Illinois PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Optum Behavioral Care Therapy Services Of Illinois PC enrolled in Medicare?

Yes. Optum Behavioral Care Therapy Services Of Illinois PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optum Behavioral Care Therapy Services Of Illinois PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Optum Behavioral Care Therapy Services Of Illinois PC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (11), Clinical Social Worker (9) and Marriage and Family Therapist (3). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optum Behavioral Care Therapy Services Of Illinois PC accept?

Health plans from MercyCare, MercyCare Health Plans and Quartz list Optum Behavioral Care Therapy Services Of Illinois PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optum Behavioral Care Therapy Services Of Illinois PC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.