Viengkeo Chanthaloth- Phasouk

LCSW | Counselor | 11+ years Exp


  2704 N Main St, Rockford
     Illinois, 61103-3112
  815-391-1000    815-815-7204 Maps & Directions
Viengkeo Chanthaloth- Phasouk is a Rockford, Illinois based counselor with 11 years of experience in Counselor. She completed her graduation from Other in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Viengkeo Chanthaloth- Phasouk is 149.022418 for Social Worker in Illinois. Her current practice location is 2704 N Main St, Rockford. Patients can book an appointment with her at 815-391-1000.
Viengkeo Chanthaloth- Phasouk is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Viengkeo Chanthaloth- Phasouk speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Viengkeo Chanthaloth- Phasouk
Specialization: Counselor
Gender:Female
Credentials: LCSW
Experience: 11+ years
Medical School Attended:Other
Graduation Year:2014
Accepts Medicare Assignment:Yes
Practice Address:2704 N Main St, Rockford,
Illinois, 61103-3112
Phone:815-391-1000
Fax:815-815-7204
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1153748447
Enrollment ID: I20200901002564
NPI Number: 1366920811
NPI Enumeration Date: 06 Aug, 2018
NPI Last Update On: 13 Aug, 2020

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Viengkeo Chanthaloth- Phasouk are as mentioned below.
License NumberSpecializationStateStatus
149.022418Social Worker IllinoisPrimary
Counselor Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Viengkeo Chanthaloth- Phasouk is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Aspen Counseling And Consulting Llc (9335376805)10
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS She does not participate in the Physician Quality Reporting System Incentive Program.
EHR She does not participate in the Electronic Health Record Incentive Program.
MHI She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1021 N Mulford Rd,
Rockford, Illinois
Zip: 61107-3877
Patients can reach Viengkeo Chanthaloth- Phasouk at 2704 N Main St, Rockford, Illinois or can call to book an appointment on 815-391-1000.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.

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