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JENNIFER MITCHELL LMFT
NPI 1669093001
Marriage & Family Therapist in Rockford, IL

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment
2108 23RD ST, ROCKFORD, IL 61108(815) 440-8687 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Mitchell Lmft NPPES

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

JENNIFER MITCHELL LMFT (NPI 1669093001) is an individual marriage & family therapist in Rockford, Illinois, licensed in Illinois (166.000725) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669093001
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER MITCHELLCredential: LMFT
Location Address2108 23RD STRockford, IL 61108-6015
Mailing Address2108 23rd StRockford, IL 61108-6015 · (815) 440-8687
Phone(815) 440-8687
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1669093001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IL · 166.000725
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2108 23RD ST, Rockford, IL 61108
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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

Jennifer Mitchell Lmft 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 ID4183074313
PECOS Enrollment IDI20231229000721
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mitchell's NPI number?

The NPI number for Jennifer Mitchell is 1669093001. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Jennifer Mitchell located?

Jennifer Mitchell practices at 2108 23rd St, Rockford, IL 61108. The listed phone number is (815) 440-8687.

What is Jennifer Mitchell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Mitchell enrolled in Medicare?

Yes. Jennifer Mitchell 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.

When was this NPI record last updated?

The NPPES record for Jennifer Mitchell was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.