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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053644849

Andrea Dawn Kaiser, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2002, 24 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2009
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

1021 N Mulford Rd
Rockford, IL 61107-3877
Phone: (815) 621-5945
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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 180005739 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22751 (IL)

Record details

NPI number1053644849
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 10, 2009
Last updated in NPPESJanuary 27, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockford