COLIN RICHARD GILLETTE (LMFT) – Marriage & Family Therapist, NPI 1528190220

COLIN RICHARD GILLETTE (LMFT) is a healthcare provider. based in Rockford, Illinois. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 166000891 (IL). The NPI Number for COLIN RICHARD GILLETTE (LMFT) is 1528190220

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
COLIN RICHARD GILLETTE (LMFT)
NPI
1528190220
Phone
(815) 391-0168
Address
6975 Redansa Dr
Enumeration Date
9 March 2007
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153910168
Graduation Year
2005 (21 years ago)
PAC ID
0042686388
Professional Enrollment ID
I20250303002231
Address ID
IL611081201RO6975XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

112 MARRIAGE AND FAMILY THERAPIST in IL

Provider Addresses for COLIN RICHARD GILLETTE (LMFT)

  • 6975 Redansa Dr

    Rockford, IL 611081201

    Phone: (815) 391-0168

    Type: Location

  • 975 N MAIN ST

    ROCKFORD, IL 611037064

    Phone: (619) 246-8292

    Type: Mailing

  • 6975 REDANSA DR

    ROCKFORD, IL 611081201

    Phone: (815) 391-0168

    Type: Mailing

  • 8616 NORTHERN AVE

    ROCKFORD, IL 611075309

    Phone: (815) 399-9700

    Type: Location

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: 2025-03-03

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
I20250303002231IMarriage And Family TherapistILTBD

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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Reviews

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Frequently asked questions

Does COLIN RICHARD GILLETTE (LMFT) have a public NPI I can cite?
Public records show COLIN RICHARD GILLETTE (LMFT) under NPI 1528190220.
Is COLIN RICHARD GILLETTE (LMFT)'s NPI status active today?
Active status means COLIN RICHARD GILLETTE (LMFT)'s NPI record is not deactivated in the public file.
How should patients interpret COLIN RICHARD GILLETTE (LMFT)'s specialty?
The extract shows Marriage & Family Therapist for COLIN RICHARD GILLETTE (LMFT). Clinical services aligned with this taxonomy classification.
Which community is linked to COLIN RICHARD GILLETTE (LMFT)?
COLIN RICHARD GILLETTE (LMFT) shows a connection to Rockford, Illinois in registry-derived data.
Who maintains COLIN RICHARD GILLETTE (LMFT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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