JEREMY ADON MCINTOSH
NPI 1013570431
Counselor in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 22, 2019

1601 UNIVERSITY DR, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jeremy Adon Mcintosh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY ADON MCINTOSH (NPI 1013570431) is an individual counselor in Rockford, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1013570431

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEREMY ADON MCINTOSH

Location Address1601 UNIVERSITY DRRockford, IL 61107-5317

Mailing Address1021 N Mulford RdRockford, IL 61107-3877

Phone(815) 391-1000

Sole ProprietorNo

Enumeration DateApril 22, 2019

✔ NPI 1013570431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1601 UNIVERSITY DR, Rockford, IL 61107

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