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MR. JACOB R WILSON BA
NPI 1023318276
Counselor - Mental Health in Rockford, IL

Active since October 21, 2010
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jacob R Wilson Ba NPPES

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

MR. JACOB R WILSON BA (NPI 1023318276) is an individual mental health provider in Rockford, Illinois and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1023318276
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACOB R WILSONCredential: BA
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address8616 Northern AveRockford, IL 61107-5309 · (815) 391-1000
Phone(815) 391-1000
Sole ProprietorNo
Enumeration DateOctober 21, 2010
Last NPPES UpdateJuly 31, 2014
✔ NPI 1023318276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8616 NORTHERN AVE, Rockford, IL 61107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY BRUN
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
SEAN WALSH LPC
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
DEBRA CORRIGAN APN
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 399-9700
JACQUELINE BELTER
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
ALICIA ANDERSON L.S.W.
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 338-8003
CHRISTINA ADAMS
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MELISSA LEE
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
SAMANTHA WAGNER
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wilson's NPI number?

The NPI number for Jacob Wilson is 1023318276. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Where is Jacob Wilson located?

Jacob Wilson practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 391-1000.

What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Wilson was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.