MR. JONATHAN SCOTT NELSON LCPC NPI 1497982151

NPI Information

  • NPI: 1497982151
  • Provider Name: MR. JONATHAN SCOTT NELSON, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 129 PHELPS AVE STE 204
    ROCKFORD, IL
    ZIP 61108
  • Phone: (815) 222-3958

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NPI Details

MR. Jonathan Scott Nelson, LCPC is a professional counselor in Rockford, IL with 19 years of experience. MR. Jonathan Scott Nelson, LCPC NPI is 1497982151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

129 PHELPS AVE STE 204
ROCKFORD, IL
ZIP 61108-447
Phone: (815) 222-3958
Fax: (815) 394-3990

The NPI 1497982151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)25596ILLINOISNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessional180-007240ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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