MEDICARE: ROCK RIVER COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1720780950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCK RIVER COUNSELING CENTER

Provider Business Mailing Address
First Line	:	4615 E STATE ST STE 201
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2158
Country	:	US
Telephone Number	:	608-313-4714
Fax Number	:

Provider Business Practice Location Address
First Line	:	4615 E STATE ST STE 201
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2158
Country	:	US
Telephone Number	:	608-313-4714
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL SCHULTZ
Credential	:
Telephone Number	:	608-313-4714

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	01/21/2026

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Directions to “ROCK RIVER COUNSELING CENTER ” Practice Location

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