JASON RELLE LPC, AMFT
NPI 1306194923
Counselor - Professional in Rockford, IL

Active since August 29, 2012
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 338-8003(815) 332-6090 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Relle Lpc, Amft NPPES

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

JASON RELLE LPC, AMFT (NPI 1306194923) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178.008877) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1306194923
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON RELLECredential: LPC, AMFT
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 387-5600 · Fax (815) 391-5041
Fax(815) 332-6090
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateSeptember 9, 2013
NPI 1306194923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178.008877
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 208.000240 (IL)
8616 NORTHERN AVE, Rockford, IL 61107

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.

Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107

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 Jason Relle's NPI number?

The NPI number for Jason Relle is 1306194923. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Jason Relle located?

Jason Relle practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 338-8003.

What is Jason Relle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jason Relle was last updated on September 9, 2013. 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.