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Active NPI 1407138159 Individual Practitioner Female Practitioner

Sara Watts

Counselor - Professional • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Sara Watts is a registered healthcare professional specializing in Counselor - Professional in Rockford, IL. Practice services are available at 1021 N MULFORD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1021 N Mulford Rd

Rockford, IL 61107

Telephone 8153913189
Associated Practice Facility / Clinic
🏢 Ronald F Yake Md Sc Facility NPI 1356520795

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
172 Specialists

Practicing in Rockford, IL (9683 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178008663

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 1407138159

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Andrea Kaiser , LCPC

Counselor - Professional

NPI 1053644849

Licensed Clinical Professional Counselor

Glen Forneris

Social Worker - Clinical

NPI 1073021192
Dr. Ronald Yake , MD

Neurological Surgery

NPI 1124176656

Doctor of Medicine (M.D.)

Paige Ryan , LCSW

Social Worker - Clinical

NPI 1184059859

Licensed Clinical Social Worker

Meghan Cook , LSW

Social Worker

NPI 1194267617

Licensed Social Worker

NPI 1205023231

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 12, 2018

Registered at 1021 N MULFORD RD, ROCKFORD, IL 61107 (Tel: 8153913189)

📍
Updated Business Mailing Address May 12, 2018

Registered at 3201 W WABANSIA AVE # 3B, CHICAGO, IL 606474936 (Tel: 7739832344)

✅
NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2012

Registered at 1021 N MULFORD RD, ROCKFORD, IL 611073877 (Tel: 8153913189)

📍
Updated Business Mailing Address December 17, 2012

Registered at 1021 N MULFORD RD, ROCKFORD, IL 611073877 (Tel: 8153913189)

👤
Provider Name / Credentials Updated December 17, 2012

Recorded as SARA WATTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Counselor (License #1407138159 in IL)

🟢
Initial NPI Registration & Enumeration September 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407138159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2011
Last Update: May 12, 2018
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3201 W Wabansia Ave # 3b

Chicago, IL 606474936

Phone: 7739832344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.