Organization Active NPI

Anchored Self Counseling PLLC

  • Mental Health Counselor
  • Rockton, IL
National Provider Identifier
1447164215
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANCHORED SELF COUNSELING PLLC
Practice address
4432 Glenmore Rd
Rockton, IL 61072-3234
Phone
(815) 393-9091
Fax
(815) 594-5861
NPI assigned
Sep 29, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Swanson
Title
Manager
Phone
(815) 393-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4432 Glenmore Rd
Rockton, IL 61072-3234

Mailing address

4432 Glenmore Rd
Rockton, IL 61072-3234
Phone (815) 393-9091

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1447164215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 GLENMORE RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610723234",
            "telephone_number": "815-393-9091",
            "fax_number": "815-594-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 GLENMORE RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610723234",
            "telephone_number": "815-393-9091",
            "fax_number": "815-594-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED SELF COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-393-9091"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.