Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Theodore Eric Vogel-Wilson

Individual provider Mental Health Counselor · NPI 1639693849

Mr. Theodore Eric Vogel-Wilson is a Mental Health Counselor in Rock Island, Illinois. Qualified in 2020, 6 years ago. Practices with Psychology Health Group, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Illinois.

Years since qualifying
6
Licensed in
IA, IL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

931 17th St
Rock Island, IL 61201-2724
Phone: (309) 558-4063
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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 180015775 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 107440 (IA)

Record details

NPI number1639693849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2017
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address931 17th St, Rock Island, IL 61201-2724

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Psychology Health Group — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rock Island