ERIC JON TANNER LCPC
NPI 1689269003
Counselor - Professional in Rockford, IL

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment
5301 E STATE ST STE 106, ROCKFORD, IL 61108(779) 212-4721 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2024, Jan 20, 2022, Mar 8, 2021 (3 updates tracked since 2021).

About Eric Jon Tanner Lcpc NPPES

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

ERIC JON TANNER LCPC (NPI 1689269003) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180.13458) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689269003
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameERIC JON TANNERCredential: LCPC
Location Address5301 E STATE ST STE 106Rockford, IL 61108-2388
Mailing Address7431 E State St Ste 354Rockford, IL 61108-2678 · (779) 212-4721
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2021
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1689269003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.13458
5301 E STATE ST STE 106, Rockford, IL 61108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eric Jon Tanner Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981139045
PECOS Enrollment IDI20241126002107
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
5301 E STATE ST STE 106
ROCKFORD, IL 61108

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 Eric Tanner's NPI number?

The NPI number for Eric Tanner is 1689269003. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Eric Tanner located?

Eric Tanner practices at 5301 E State St Ste 106, Rockford, IL 61108. The listed phone number is (779) 212-4721.

What is Eric Tanner's specialty?

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

Is Eric Tanner enrolled in Medicare?

Yes. Eric Tanner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Tanner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Medica and UnitedHealthcare list Eric Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Tanner was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.