SOPHIA MUZZARELLI – Mental Health Counselor, NPI 1023888294

SOPHIA MUZZARELLI is a healthcare provider. based in Rockford, Illinois. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for SOPHIA MUZZARELLI is 1023888294

Main info

Female
4 Years Of Experience
Name
SOPHIA MUZZARELLI
NPI
1023888294
Phone
(815) 962-0871
Address
220 EASTON PKWY
Enumeration Date
8 January 2024
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155202303
Graduation Year
2022 (4 years ago)
PAC ID
5193225274
Group Practice PAC ID
3678869179
Professional Enrollment ID
I20250822003015
Address ID
IL611082265RO4835XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SOPHIA MUZZARELLI

  • 220 EASTON PKWY

    ROCKFORD, IL 611082203

    Phone: (815) 962-0871

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250822003015IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678869179View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What number should I use to identify SOPHIA MUZZARELLI for billing?
Administrative and clinical systems typically use NPI 1023888294 for SOPHIA MUZZARELLI.
Should I treat SOPHIA MUZZARELLI as an active provider?
Patients and plans typically see SOPHIA MUZZARELLI as active in the national extract.
What type of care does SOPHIA MUZZARELLI provide?
SOPHIA MUZZARELLI's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to SOPHIA MUZZARELLI?
The directory associates SOPHIA MUZZARELLI with Rockford, Illinois. Check all listed addresses for suites or satellite offices.
Can I export SOPHIA MUZZARELLI's record?
You can download the official NPPES record; we summarize key fields for readability.

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