Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Rezin, LCPC

Individual provider Professional Counselor · NPI 1396415121

Amanda Rezin, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Optum Behavioral Care Therapy Services of Illinois PC, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225
Phone: (779) 368-0060
Fax: (815) 977-4892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180014340 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 178-016094 (IL)

Record details

NPI number1396415121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESAugust 31, 2023
Certification dateAugust 29, 2023
Mailing address695 N Perryville Rd Ste 4, Rockford, IL 61107-6225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optum Behavioral Care Therapy Services Of Illinois Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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