Individual provider Active NPI

Jacalyn Dale Fischer-Casey, L.C.P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Rockford, IL
National Provider Identifier
1659354330
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3810 Issued in IL
Practice address
631 N Longwood St
Ste 203
Rockford, IL 61107-4266
Phone
(815) 962-6100
Fax
(815) 962-6107
NPI assigned
Nov 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3810 IL Primary
Professional Counselor 101YP2500X IL

Addresses

Primary practice location

631 N Longwood St
Ste 203
Rockford, IL 61107-4266

Mailing address

631 N Longwood St
Ste 203
Rockford, IL 61107-4266
Phone (815) 962-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000071 IL Practitioner - Mental Health Counselor 5496108060 Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6072 Brynwood Dr
Rockford, IL 61114-5829
Phone (815) 962-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3810ILMDAddiction (Substance Use Disorder) Counselor
180-001641ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659354330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N LONGWOOD ST",
            "address_2": "STE 203",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074266",
            "telephone_number": "815-962-6100",
            "fax_number": "815-962-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N LONGWOOD ST",
            "address_2": "STE 203",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074266",
            "telephone_number": "815-962-6100",
            "fax_number": "815-962-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER-CASEY",
        "first_name": "JACALYN",
        "middle_name": "DALE",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "3810",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.