Mr Jacob R Wilson, BA - Counselor in Rockford, IL

Mr Jacob R Wilson, BA is a Counselor - Mental Health based in Rockford, Illinois. Mr Jacob R Wilson is licensed to practice in * (Not Available) (license number ) and his current practice location is 8616 Northern Ave, Rockford, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 391-1000.

NPI number for Mr Jacob R Wilson is 1023318276 and his current mailing address is 8616 Northern Ave, Rockford, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023318276.

Contact Information

Mr Jacob R Wilson, BA
8616 Northern Ave,
Rockford, IL 61107-5309
(815) 391-1000
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jacob R Wilson
GenderMale
SpecialityCounselor - Mental Health
Location8616 Northern Ave, Rockford, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023318276
  • Provider Enumeration Date: 10/21/2010
  • Last Update Date: 07/31/2014

Medical Identifiers

Medical identifiers for Mr Jacob R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023318276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob R Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jacob R Wilson, BA
8616 Northern Ave,
Rockford, IL 61107-5309

Ph: (815) 391-1000
Mr Jacob R Wilson, BA
8616 Northern Ave,
Rockford, IL 61107-5309

Ph: (815) 391-1000

Reviews and Comments


Counselor in Rockford, IL

Stephanie Yates, LCPC
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Logan John Chapman-neal,
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Phone: 815-391-1000    
Charlene J Donahoe, MS, LPC
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Phone: 815-980-8621    
Holly Brun,
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Medicare: Medicare Enrolled
Practice Location: 8616 Northern Ave, Rockford, IL 61107
Phone: 815-332-8003    
Jeremy Adon Mcintosh,
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Medicare: Not Enrolled in Medicare
Practice Location: 1601 University Dr, Rockford, IL 61107
Phone: 815-391-1000    
Angie Tompkins, LCPC
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Medicare: Not Enrolled in Medicare
Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107
Phone: 815-324-3979    
Ms. Eileen H Mccarten, MS, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3600 E State St Ste 316, Rockford, IL 61108
Phone: 815-877-7228    Fax: 815-877-8172

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