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

Beth Marie Mutton, LCPC, CADC, SAP

Individual provider Professional Counselor · NPI 1619521945

Beth Marie Mutton, LCPC, CADC, SAP is a Mental Health Counselor in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Willow Creek Counseling LLC, an 8-clinician group. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

7294 Argus Dr
Rockford, IL 61107-5837
Phone: (815) 391-3055
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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 180015969 (IL)

Record details

NPI number1619521945
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , CADC , SAP
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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 Willow Creek Counseling Llc — 8 clinicians
Accepts Medicare assignment Not indicated

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