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COMMON BOUNDARY WELLNESS CENTER
NPI 1619189594
Counselor - Mental Health in Rockford, IL

Active since May 04, 2007
1495 NORTHROCK CT, ROCKFORD, IL 61103(815) 965-1817(815) 965-9574 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Common Boundary Wellness Center NPPES

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

COMMON BOUNDARY WELLNESS CENTER (NPI 1619189594) is a healthcare organization registered as a mental health in Rockford, Illinois and active in the NPI registry since May 2007. The organization lists Renee A Mcardle, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1619189594
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOMMON BOUNDARY WELLNESS CENTER
Location Address1495 NORTHROCK CTRockford, IL 61103-1233
Mailing Address1495 Northrock CtRockford, IL 61103-1233 · (815) 965-1817 · Fax (815) 965-9574
Phone(815) 965-1817
Fax(815) 965-9574
Organization SubpartNo
Authorized OfficialRenee A McardleManaging Partner · (815) 965-1817
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619189594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1495 NORTHROCK CT, Rockford, IL 61103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. WILLIAM WYATT WOOD M.D.
Psychiatry & Neurology (Psychiatry)
1495 NORTHROCK CT
ROCKFORD, IL 61103
Winnebago County (815) 885-1462
TRACEY DAWN KINIGAKIS MD
Family Medicine
1495 NORTHROCK CT
ROCKFORD, IL 61103
Winnebago County (815) 618-8116
CHERYL MCARDLE CULHANE LCSW PC
Community/Behavioral Health
1495 NORTHROCK CT
ROCKFORD, IL 61103
Winnebago County (815) 965-1817
DR. TRACEY KINIGAKIS,M.D.- YOUR WELLNESS PARTNER,LLC
Clinic/Center (Primary Care)
1495 NORTHROCK CT
ROCKFORD, IL 61103
Winnebago County (815) 618-8116
KAREN LEE HOFFMANN
Massage Therapist
1495 NORTHROCK CT
ROCKFORD, IL 61103
Winnebago County (815) 957-0123

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 Common Boundary Wellness Center's NPI number?

The NPI number for Common Boundary Wellness Center is 1619189594. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Common Boundary Wellness Center located?

Common Boundary Wellness Center is located at 1495 Northrock Ct, Rockford, IL 61103. The listed phone number is (815) 965-1817.

What is Common Boundary Wellness Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Common Boundary Wellness Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.