1. Home
  2. Directory
  3. Illinois
  4. Rock Island
  5. Counselor
  6. NPI Profile

MR. THEODORE ERIC VOGEL-WILSON
NPI 1639693849
Counselor - Professional in Rock Island, IL

Active since July 29, 2017PECOS EnrolledAccepts Medicare Assignment
931 17TH ST, ROCK ISLAND, IL 61201(309) 558-4063 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 29, 2017 (2 updates tracked since 2017).

About Mr. Theodore Eric Vogel-wilson NPPES

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

MR. THEODORE ERIC VOGEL-WILSON (NPI 1639693849) is an individual professional provider in Rock Island, Illinois, licensed in Illinois (180015775) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639693849
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THEODORE ERIC VOGEL-WILSON
Location Address931 17TH STRock Island, IL 61201-2724
Mailing Address931 17th StRock Island, IL 61201-2724 · (309) 558-4063
Phone(309) 558-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2017
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1639693849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180015775
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 107440 (IA)
931 17TH ST, Rock Island, IL 61201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz, UnitedHealthcare.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

Mr. Theodore Eric Vogel-wilson 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 ID9537677471
PECOS Enrollment IDI20250802000076
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.

Frequently Asked Questions

What is Theodore Vogel-wilson's NPI number?

The NPI number assigned to this healthcare provider is 1639693849, enumerated as an "individual" on July 29, 2017.

Where is the provider located?

The provider is located at 931 17TH ST ROCK ISLAND, IL 61201 and the phone number is (309) 558-4063.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Theodore Vogel-wilson accept?

The provider might be accepting Accepts: Quartz and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.