Eric Jon Tanner, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.13458 Issued in IL

Practice address

5301 E State St Ste 106
Rockford, IL 61108-2388

Phone

(779) 212-4721

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imagine More Counseling Solutions LLC

  • Professional Counselor
  • Rockford, IL
  • NPI 1598346561
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1689269003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 E STATE ST STE 354",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082678",
            "telephone_number": "779-212-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E STATE ST STE 106",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082388",
            "telephone_number": "779-212-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3716 Marieme Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611081933",
            "country_code": "US",
            "telephone_number": "630-390-4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5906 Elaine Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082467",
            "country_code": "US",
            "telephone_number": "779-212-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ERIC",
        "middle_name": "JON",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericjontanner@imcsolutionsllc.com",
            "affiliation": "N",
            "endpointDescription": "personal business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal Business Email",
            "address_1": "3716 Marieme Dr",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611081933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hena Tahir, OD, MS
• Tetsuya Takeuchi, M.D.
• Mitchell Glenn Eustaquio Tan, DNP, APRN,PMHNP-BC
• Brenda Marie Tanker
• Ty Alexander Tanker, AU.D.
• George Chahine Tannous, M.D.
• Hira Tariq, MD
• Saad Tariq, MD
• Florentina Tase, APN
• Shiraz P Tata, PH.D.

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.