Active NPI
Meg M Garrison, MA, LCPC, LMHC, NCC
- Professional Counselor
- Rockford, IL
National Provider Identifier
1255510012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.007022
- Practice address
- 4215 Newburg Rd
Rockford, IL 61108-6479 - Phone
- (815) 398-0500
- Fax
- (815) 398-0588
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.007022 | IL | Primary |
| Professional Counselor | 101YP2500X | MH7298 | FL |
Addresses
Primary practice location
4215 Newburg Rd
Rockford, IL 61108-6479
Mailing address
4215 Newburg Rd
Rockford, IL 61108-6436
Phone (815) 398-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7298 | FL | MD | Professional Counselor |
| 180.007022 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1255510012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 NEWBURG RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611086436",
"telephone_number": "815-398-0500",
"fax_number": "815-398-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 NEWBURG RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611086479",
"telephone_number": "815-398-0500",
"fax_number": "815-398-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "MEG",
"middle_name": "M",
"credential": "MA, LCPC, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.007022",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH7298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.