AMY BRUYN LCPC
NPI 1366930406
Counselor - Professional in Rockford, IL
About Amy Bruyn Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY BRUYN LCPC (NPI 1366930406) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178-013197) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Bruyn Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Bruyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61109
- Reassigned Medicare billing, Illinois enrollment
- 23 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61109
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 Amy Bruyn's NPI number?
The NPI number for Amy Bruyn is 1366930406. It was assigned to this individual provider in the NPPES registry on April 24, 2018.
Where is Amy Bruyn located?
Amy Bruyn practices at 6392 Linden Rd, Rockford, IL 61109. The listed phone number is (779) 368-0060.
What is Amy Bruyn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amy Bruyn enrolled in Medicare?
Yes. Amy Bruyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Bruyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Bruyn reassigns Medicare benefits to Optum Behavioral Care Therapy Services Of Illinois PC (Rockford, 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 Amy Bruyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Bruyn accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health, Quartz and UnitedHealthcare list Amy Bruyn 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 Amy Bruyn was last updated on April 24, 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.
# Amy Bruyn, LCPC · NPI 1366930406
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since April 24, 2018.
## Identity
- **NPI:** 1366930406 (Entity type: Individual)
- **Enumerated:** April 24, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178-013197 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6392 LINDEN RD, Rockford, IL 61109-2816
- **Phone:** (779) 368-0060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Optum Behavioral Care Therapy Services Of Illinois PC (NPI 1235949553, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366930406) · Data from the CMS NPPES public registry.