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ROSECRANCE MULBERRY
NPI 1255799938
Substance Abuse Rehabilitation Facility in Rockford, IL

Active since February 09, 2016
605 MULBERRY ST, ROCKFORD, IL 61103(815) 720-4960(815) 312-5770 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2018, Feb 18, 2016, Feb 9, 2016 (3 updates tracked since 2016).

About Rosecrance Mulberry NPPES

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

ROSECRANCE MULBERRY (NPI 1255799938) is a healthcare organization registered as a substance abuse rehabilitation facility in Rockford, Illinois and active in the NPI registry since February 2016. The organization lists Philip Eaton, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1255799938
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameROSECRANCE, INC.
Location Address605 MULBERRY STRockford, IL 61103-6746
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-1000
Phone(815) 720-4960
Fax(815) 312-5770
Organization SubpartNo
Authorized OfficialPhilip EatonCeo/president · (815) 387-5600
Enumeration DateFebruary 9, 2016
Last NPPES UpdateApril 27, 20183 updates tracked since enumeration
✔ NPI 1255799938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in IL · A-0601-0044-A
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
605 MULBERRY ST, Rockford, IL 61103
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Other Names 1

Doing Business AsRosecrance Mulberry

Other Identifiers 1

MedicaidA-0601-0043-AIL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Rosecrance Mulberry, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker24
Psychiatry22
Nurse Practitioner20
Mental Health Counselor19
Family Practice8
Internal Medicine2
Addiction Medicine1
Clinical Psychologist1
1 other specialty1

Nearest to this location (20)

See all 98
Richard Jaconette, MD
Psychiatry
NPI 1578785432
526 W STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Shahina Jafry, M.D.
Psychiatry
NPI 1053383737
526 W. STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Reginald Givens, MD
Psychiatry
NPI 1568533701
1401 E STATE ST
Rockford, IL 61104
(815) 489-4123
✔ PECOS✔ Accepts Medicare0.7 mi
Evan Silvi
Psychiatry
NPI 1891988010
1401 E STATE ST
Rockford, IL 61104
(815) 489-4123
✔ PECOS0.7 mi
Carrie Sharkey, MD
Family Practice
NPI 1295725323
1221 E STATE ST
Rockford, IL 61104
(815) 972-1000
✔ PECOS✔ Accepts Medicare1.2 mi
Viengkeo Chanthaloth- Phasouk, LCSW
Clinical Social Worker
NPI 1366920811
2704 N MAIN ST
Rockford, IL 61103
(815) 391-1000
✔ PECOS✔ Accepts Medicare2.2 mi
Eric Onsgard, MSW, LCSW
Clinical Social Worker
NPI 1043566094
2704 N MAIN ST
Rockford, IL 61103
(855) 751-4348
✔ PECOS✔ Accepts Medicare2.2 mi
Nichole Davidson
Clinical Social Worker
NPI 1881422814
2704 N MAIN ST
Rockford, IL 61103
(779) 970-4554
✔ PECOS2.2 mi
Rajbir Grewal, MD
Family Practice
NPI 1669904371
2704 N MAIN ST
Rockford, IL 61103
(815) 853-2050
✔ PECOS✔ Accepts Medicare2.2 mi
Michelle Nelson
Mental Health Counselor
NPI 1093529380
2704 N MAIN ST
Rockford, IL 61103
(815) 391-1000
✔ PECOS2.2 mi
Victoria Malinowski
Clinical Social Worker
NPI 1780277129
2704 N MAIN ST
Rockford, IL 61103
(815) 720-5012
✔ PECOS✔ Accepts Medicare2.2 mi
Candice Holder, PMHNP
Nurse Practitioner
NPI 1376976530
1639 N ALPINE RD STE 260
Rockford, IL 61107
(815) 395-1500
✔ PECOS✔ Accepts Medicare3.6 mi
Kristen Brokaw
Nurse Practitioner
NPI 1851806335
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS4.0 mi
Michael Oldenburg, LPC
Mental Health Counselor
NPI 1851057475
3815 HARRISON AVE
Rockford, IL 61108
(815) 540-6151
✔ PECOS4.1 mi
Amber Vowles, L.P.C.
Mental Health Counselor
NPI 1477825990
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS4.1 mi
Amy Young, FNP-BC
Nurse Practitioner
NPI 1689927766
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS4.1 mi
Darby Roth, LSW
Clinical Social Worker
NPI 1548051949
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-5656
✔ PECOS5.1 mi
Lisa Espig
Mental Health Counselor
NPI 1306464185
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-2547
✔ PECOS✔ Accepts Medicare5.1 mi
Lynn Wheeler, APN
Nurse Practitioner
NPI 1295039873
1021 N MULFORD RD
Rockford, IL 61107
(815) 391-1000
✔ PECOS✔ Accepts Medicare5.1 mi
Alvydas Baris, MD
Family Practice
NPI 1821029091
6824 NEWBURG RD
Rockford, IL 61108
(779) 696-7610
✔ PECOS✔ Accepts Medicare6.0 mi
See all 98 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 Rosecrance, Inc.'s NPI number?

The NPI number for Rosecrance, Inc. is 1255799938. It was assigned to this organization in the NPPES registry on February 9, 2016. The provider is doing business as Rosecrance Mulberry.

Where is Rosecrance, Inc. located?

Rosecrance, Inc. is located at 605 Mulberry St, Rockford, IL 61103. The listed phone number is (815) 720-4960.

What is Rosecrance, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Rosecrance, Inc. enrolled in Medicare?

Yes. Rosecrance, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosecrance, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 9 Medicare specialties reassign their Medicare billing to Rosecrance, Inc.. 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 Clinical Social Worker (24), Psychiatry (22) and Nurse Practitioner (20). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosecrance, Inc. was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.