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

Kevin Thomas

Individual provider Professional Counselor · NPI 1245183052

Kevin Thomas is a Mental Health Counselor in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2026

Practice location Address checks out

6072 Brynwood Dr Ste 201
Rockford, IL 61114-5829
Phone: (779) 363-4390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (IL)

Record details

NPI number1245183052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address6072 Brynwood Dr Ste 201, Rockford, IL 61114-5829

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford