Forest City Counseling, LLC
NPI 1164075990ActiveOrganization· Social Worker, Clinical· Rockford, IL
Social Worker, Clinical in Rockford, Illinois, registered in NPPES in July 2019. The authorized official on file is Jan M. Selander, LCSW, Lcsw. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164075990 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2019 |
| Last updated in NPPES | Apr 20, 2023 |
| Certified by provider | Apr 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Case Management | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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