BEACON OF ENLIGHTENMENT
NPI 1376200550
Counselor in Rockford, IL

Q: What is Beacon Of Enlightenment's NPI number?

The NPI number for Beacon Of Enlightenment is 1376200550. It was assigned to this organization in the NPPES registry on November 22, 2021.

Q: What is Beacon Of Enlightenment's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since November 22, 2021

6072 BRYNWOOD DR STE 201, ROCKFORD, IL 61114(815) 564-8633(779) 423-0778 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Nov 22, 2021 (2 updates tracked since 2021).

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About Beacon Of Enlightenment NPPES

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

BEACON OF ENLIGHTENMENT (NPI 1376200550) is a healthcare organization registered as a counselor in Rockford, Illinois and active in the NPI registry since November 2021. The organization lists Crisy Gowan, Owner, as its authorized official.

NPPES Registry Identity

NPI1376200550

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameBEACON OF ENLIGHTENMENT

Location Address6072 BRYNWOOD DR STE 201Rockford, IL 61114-5829

Mailing Address451 Coventry Ln Ste 100Crystal Lake, IL 60014-7589 · (815) 564-8633 · Fax (779) 423-0778

Phone(815) 564-8633

Fax(779) 423-0778

Organization SubpartNo

Authorized OfficialCrisy GowanOwner · (815) 564-8633

Enumeration DateNovember 22, 2021

Last NPPES UpdateApril 14, 20252 updates tracked since enumeration

NPPES CertifiedApril 14, 2025

✔ NPI 1376200550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6072 BRYNWOOD DR STE 201, Rockford, IL 61114

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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

Other Providers at the Same Location NPPES 5

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

KEVIN THOMAS

Counselor (Professional)