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MR. JEFFREY MARTIN LCSW
NPI 1710145743
Counselor - Professional in Rockford, IL

Active since May 27, 2008
5804 ELAINE DR, ROCKFORD, IL 61108(815) 397-7654(815) 397-2712 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jeffrey Martin Lcsw NPPES

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

MR. JEFFREY MARTIN LCSW (NPI 1710145743) is an individual professional provider in Rockford, Illinois, licensed in Illinois (149003373) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1710145743
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JEFFREY MARTINCredential: LCSW
Location Address5804 ELAINE DRRockford, IL 61108-2435
Mailing Address5804 Elaine DrRockford, IL 61108-2435 · (815) 397-7654 · Fax (815) 397-2712
Phone(815) 397-7654
Fax(815) 397-2712
Sole ProprietorNo
Enumeration DateMay 27, 2008
✔ NPI 1710145743 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 · 149003373
5804 ELAINE DR, Rockford, IL 61108
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Other Providers at the Same Location NPPES 5

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

MATHERS CLINIC, LLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
MR. MICHAEL L GAZIANO MSW LCSW
Social Worker (Clinical)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (385) 388-8750
MR. NORMAN H PFILE
Counselor (Mental Health)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
ANNE ELLEN DE VERNEUIL MA, CADC
Counselor (Professional)
5804 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 397-7654
MRS. KATHLEEN MARIE FREEBURG MS LMFT
Marriage & Family Therapist
5804 ELAINE DR, MATHERS CLINIC
ROCKFORD, IL 61108
Winnebago County (815) 397-7654

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 Jeffrey Martin's NPI number?

The NPI number for Jeffrey Martin is 1710145743. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Jeffrey Martin located?

Jeffrey Martin practices at 5804 Elaine Dr, Rockford, IL 61108. The listed phone number is (815) 397-7654.

What is Jeffrey Martin'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 Jeffrey Martin was last updated on May 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.