AMANDA REZIN LCPC
NPI 1396415121
Counselor - Professional in Rockford, IL

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
695 N PERRYVILLE RD STE 4, ROCKFORD, IL 61107(779) 368-0060(815) 977-4892 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Sep 14, 2021 (2 updates tracked since 2021).

About Amanda Rezin Lcpc NPPES

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

AMANDA REZIN LCPC (NPI 1396415121) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180014340) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396415121
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA REZINCredential: LCPC
Location Address695 N PERRYVILLE RD STE 4Rockford, IL 61107-6225
Mailing Address695 N Perryville Rd Ste 4Rockford, IL 61107-6225 · (779) 368-0060 · Fax (815) 977-4892
Fax(815) 977-4892
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 14, 2021
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1396415121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180014340 Licensed in IL · 178-016094
695 N PERRYVILLE RD STE 4, Rockford, IL 61107

Other Names 1

Former Name (1)Amanda Green

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Rezin 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.

PECOS PAC ID3971040551
PECOS Enrollment IDI20240731002906
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107

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 Amanda Rezin's NPI number?

The NPI number for Amanda Rezin is 1396415121. It was assigned to this individual provider in the NPPES registry on September 14, 2021. The provider is also known as Amanda Green.

Where is Amanda Rezin located?

Amanda Rezin practices at 695 N Perryville Rd Ste 4, Rockford, IL 61107. The listed phone number is (779) 368-0060.

What is Amanda Rezin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Rezin enrolled in Medicare?

Yes. Amanda Rezin 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.

What insurance does Amanda Rezin accept?

Health plans from MercyCare Health Plans, Quartz and UnitedHealthcare list Amanda Rezin 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 Amanda Rezin was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.