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MS. ANITA ANN THOMAS BUA LCPC,LPC
NPI 1457499022
Counselor - Mental Health in Rockford, IL

Active since February 03, 2007PECOS EnrolledAccepts Medicare Assignment
1639 N ALPINE RD STE 260, ROCKFORD, IL 61107(815) 395-1500(833) 656-2718 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2025, Aug 26, 2023 (2 updates tracked since 2023).

About Ms. Anita Ann Thomas Bua Lcpc,lpc NPPES

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

MS. ANITA ANN THOMAS BUA LCPC,LPC (NPI 1457499022) is an individual mental health provider in Rockford, Illinois, licensed in Illinois (180008157) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457499022
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANITA ANN THOMAS BUACredential: LCPC,LPC
Location Address1639 N ALPINE RD STE 260Rockford, IL 61107-1481
Mailing Address1639 N Alpine Rd Ste 260Rockford, IL 61107-1481 · (815) 395-1500 · Fax (833) 656-2718
Phone(815) 395-1500
Fax(833) 656-2718
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 3, 2007
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1457499022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180008157
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178004743 (IL), 3755-125 (WI)
1639 N ALPINE RD STE 260, Rockford, IL 61107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz, UnitedHealthcare.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

Ms. Anita Ann Thomas Bua Lcpc,lpc 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 ID6103261235
PECOS Enrollment IDI20260109002578
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.

Medicare Billing Reassignment

Medicare enrollment records show Anita Thomas Bua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Psychiatric Medical Services, S.C.
Same address
Psychiatry
1639 N ALPINE RD STE 260
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Psychiatric Medical Services Sc
  • 163 clinicians in this Medicare group
NPI 1821391442 (815) 395-1500

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 10

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

MISTY LYNN DEHAVEN APN
Nurse Practitioner (Family)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 395-1500
MALORI SADE PATRICE HINCHEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 200-8277
JENNA MCPHILLIPS LCSW
Social Worker (Clinical)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 200-8277
MS. SANDY MEADE NP
Nurse Practitioner (Psychiatric/Mental Health)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 395-1500
ANGELA ELAINE GILBERT
Nurse Practitioner (Family)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 395-1500
CANDICE J HOLDER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 395-1500
DR. MITCHELL GLENN EUSTAQUIO TAN DNP, APRN,PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 670-1715
MRS. CASI LYNNE KRALL M.S., L.C.P.C.
Counselor (Professional)
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107
Winnebago County (815) 514-0768

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 Anita Thomas Bua's NPI number?

The NPI number for Anita Thomas Bua is 1457499022. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Anita Thomas Bua located?

Anita Thomas Bua practices at 1639 N Alpine Rd Ste 260, Rockford, IL 61107. The listed phone number is (815) 395-1500.

What is Anita Thomas Bua's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Anita Thomas Bua enrolled in Medicare?

Yes. Anita Thomas Bua 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 Anita Thomas Bua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Thomas Bua reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (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 Anita Thomas Bua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anita Thomas Bua accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and UnitedHealthcare list Anita Thomas Bua 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 Anita Thomas Bua was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.