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EIRIK GUSTAFSON
NPI 1790205144
Counselor in Moline, IL

Active since June 26, 2017

NPPES record last updated: June 26, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eirik Gustafson NPPES

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

EIRIK GUSTAFSON (NPI 1790205144) is an individual counselor in Moline, Illinois and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1790205144
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEIRIK GUSTAFSON
Location Address4600 3RD STMoline, IL 61265-6106
Mailing Address4600 3rd StMoline, IL 61265-6106
Phone(309) 779-2945
Sole ProprietorNo
Enumeration DateJune 26, 2017
✔ NPI 1790205144 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.
4600 3RD ST, Moline, IL 61265
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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.

MS. JOAN TIMMERMANN LCSW
Social Worker (Clinical)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
LASHONA MICHELLE DAVIS CMA
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
CLINTON TROY MERRITT
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (708) 305-4041
ANNULKA LYNN KAGEE-WILLARD
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
REBEKAH ANN CLARK LPHA,LCSW
Social Worker (Clinical)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
TREENA ADAMS APN
Nurse Practitioner (Family)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
SALENA HUTCHINS
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3924
MICHELLE R. SHEPHERD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031

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 Eirik Gustafson's NPI number?

The NPI number for Eirik Gustafson is 1790205144. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Eirik Gustafson located?

Eirik Gustafson practices at 4600 3rd St, Moline, IL 61265. The listed phone number is (309) 779-2945.

What is Eirik Gustafson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Eirik Gustafson was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.