CODY BERILLO LCSW
NPI 1871292995
Social Worker - Clinical in Rockford, IL
About Cody Berillo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY BERILLO LCSW (NPI 1871292995) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149025210) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Cody Berillo Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Cody Berillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loves Park, IL 61111
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Four Corners Wellness Center, Ltd
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61109
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 Cody Berillo's NPI number?
The NPI number for Cody Berillo is 1871292995. It was assigned to this individual provider in the NPPES registry on February 27, 2023.
Where is Cody Berillo located?
Cody Berillo practices at 6392 Linden Rd, Rockford, IL 61109. The listed phone number is (779) 368-0060.
What is Cody Berillo's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Cody Berillo enrolled in Medicare?
Yes. Cody Berillo 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 Cody Berillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Berillo reassigns Medicare benefits to Fourcorners Wellness Center, Ltd (Loves Park, 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 Cody Berillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Berillo accept?
Health plans from MercyCare, MercyCare Health Plans and Quartz list Cody Berillo 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 Cody Berillo was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Cody Berillo, LCSW · NPI 1871292995
Clinical provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1871292995 (Entity type: Individual)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149025210 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6392 LINDEN RD, Rockford, IL 61109-2816
- **Phone:** (779) 368-0060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fourcorners Wellness Center, Ltd (NPI 1932968633, Loves Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871292995) · Data from the CMS NPPES public registry.