Optum Behavioral Care Therapy Services of Illinois PC
NPI 1235949553 · Clinical Social Worker · Rockford, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optum Behavioral Care Therapy Services of Illinois PC is a Clinical Social Worker organization in Rockford, IL (NPI 1235949553).
Provider details
- NPI number
- 1235949553
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacy Cloyd, Secretary(763) 330-4953
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kp Counseling of Illinois
- Doing business as
- Kp Counseling of Illinois
Additional practice locations (4)
- 4753 N Broadway St Ste 403Chicago, IL 60640-7910Phone: (779) 368-0060Fax: (779) 368-0579
- 820 Davis St Ste 222Evanston, IL 60201-4445Phone: (779) 368-0060Fax: (779) 368-0579
- 12151 Regency Pkwy Ste 12189Huntley, IL 60142-7644Phone: (779) 368-0060Fax: (779) 368-0579
- 695 N Perryville Rd Ste 4Rockford, IL 61107-6225Phone: (779) 368-0060Fax: (779) 368-0579
Registry dates
- Enumerated
- 2025-01-09
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Optum Behavioral Care Therapy Services of Illinois PC's NPI number?
- Optum Behavioral Care Therapy Services of Illinois PC's National Provider Identifier (NPI) is 1235949553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optum Behavioral Care Therapy Services of Illinois PC?
- Optum Behavioral Care Therapy Services of Illinois PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Optum Behavioral Care Therapy Services of Illinois PC located?
- Optum Behavioral Care Therapy Services of Illinois PC's practice location on file with NPPES is 6392 Linden Rd, Rockford, IL 61109-2816.
- What is Optum Behavioral Care Therapy Services of Illinois PC's phone number?
- The practice phone number listed in the NPPES registry for Optum Behavioral Care Therapy Services of Illinois PC is (779) 368-0060.
- Does Optum Behavioral Care Therapy Services of Illinois PC accept Medicare?
- Optum Behavioral Care Therapy Services of Illinois PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optum Behavioral Care Therapy Services of Illinois PC?
- The authorized official listed on Optum Behavioral Care Therapy Services of Illinois PC's NPPES record is Stacy Cloyd, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optum Behavioral Care Therapy Services of Illinois PC's NPI active?
- Yes — Optum Behavioral Care Therapy Services of Illinois PC's NPI (1235949553) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.