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

Michael John Oldenburg, LPC

Individual provider Counselor · NPI 1851057475

Michael John Oldenburg, LPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3815 Harrison Ave
Rockford, IL 61108-7631
Phone: (815) 540-6151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 178.017532 (IL)

Record details

NPI number1851057475
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address1021 N Mulford Rd, Rockford, IL 61107-3874

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)
Accepts Medicare assignment Not indicated

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