MICHAEL JOHN OLDENBURG LPC
NPI 1851057475
Counselor in Rockford, IL

Q: What is Michael Oldenburg's NPI number?

The NPI number for Michael Oldenburg is 1851057475. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Michael Oldenburg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Oldenburg was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 09, 2021PECOS Enrolled

3815 HARRISON AVE, ROCKFORD, IL 61108(815) 540-6151 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael John Oldenburg Lpc NPPES

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

MICHAEL JOHN OLDENBURG LPC (NPI 1851057475) is an individual counselor in Rockford, Illinois, licensed in Illinois (178.017532) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851057475

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMICHAEL JOHN OLDENBURGCredential: LPC

Location Address3815 HARRISON AVERockford, IL 61108-7631

Mailing Address1021 N Mulford RdRockford, IL 61107-3874

Phone(815) 540-6151

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1851057475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178.017532

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3815 HARRISON AVE, Rockford, IL 61108

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael John Oldenburg Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456833136

PECOS Enrollment IDI20260303001530

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 20

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

TERRY LYNN BUNGER

Registered Nurse (Addiction (Substance Use Disorder))

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

MEGAN WHITE RN

Licensed Practical Nurse

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

ROSECRANCE, INC.

Substance Abuse Rehabilitation Facility

3815 HARRISON AVE, CRU
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

LAURA OLSON RN

Registered Nurse

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

MARK HONZEL

Counselor

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

ANDREW WALTERS

Registered Nurse

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

ROSECRANCE, INC.

Substance Abuse Rehabilitation Facility

3815 HARRISON AVE, DETOX A2 - 2ND FLOOR NORTHWEST A2
ROCKFORD, IL 61108

Winnebago County (815) 391-1000

CARLENE CARDOSI

Social Worker (Clinical)

3815 HARRISON AVE
ROCKFORD, IL 61108

Winnebago County (805) 391-1000

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 Michael Oldenburg's NPI number?

The NPI number for Michael Oldenburg is 1851057475. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Michael Oldenburg located?

Michael Oldenburg practices at 3815 Harrison Ave, Rockford, IL 61108. The listed phone number is (815) 540-6151.

What is Michael Oldenburg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Michael Oldenburg enrolled in Medicare?

Yes. Michael Oldenburg is registered in the Medicare PECOS enrollment system.

What insurance does Michael Oldenburg accept?

Health plans from Quartz list Michael Oldenburg 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 Michael Oldenburg was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.