RESTORE COUNSELING & RECOVERY, INC. – Clinical Social Worker, NPI 1588909923

RESTORE COUNSELING & RECOVERY, INC. is a healthcare provider. based in Loves park, Illinois. specializing in Clinical Social Worker. The organization holds a License No. 27402 (IL). The NPI Number for RESTORE COUNSELING & RECOVERY, INC. is 1588909923

Main info

Organization
Name
RESTORE COUNSELING & RECOVERY, INC.
NPI
1588909923
Phone
(815) 708-7392
Address
7399 FOREST HILLS RD
Authorized Official
THOMAS G MLODZIK CEO LCSW LMFT CRADC
Enumeration Date
11 December 2012
Last Update Date
18 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

Provider Addresses for RESTORE COUNSELING & RECOVERY, INC.

  • 7399 FOREST HILLS RD

    LOVES PARK, IL 611113974

    Phone: (815) 708-7392

    Fax: (815) 708-8248

    Type: Mailing

  • 7210 E STATE ST

    SUITE 206

    ROCKFORD, IL 611082622

    Phone: (815) 708-7392

    Fax: (815) 708-8248

    Type: Mailing

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: 2013-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (801 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20130508000321OClinic/Group PracticeIL2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 61111)

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Reviews

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Frequently asked questions

Is RESTORE COUNSELING & RECOVERY, INC. listed with a National Provider Identifier?
Yes — RESTORE COUNSELING & RECOVERY, INC. has NPI 1588909923 on file in the registry.
Is there an active status for RESTORE COUNSELING & RECOVERY, INC.?
For scheduling context, RESTORE COUNSELING & RECOVERY, INC. is shown as active in the registry.
What kind of doctor is RESTORE COUNSELING & RECOVERY, INC.?
RESTORE COUNSELING & RECOVERY, INC. is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RESTORE COUNSELING & RECOVERY, INC.?
Directory geography for RESTORE COUNSELING & RECOVERY, INC. centers on Loves Park, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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