Active NPI
Jill Suzanne Hartwig, BA CADC
- Addiction (Substance Use Disorder) Counselor
- Rockford, IL
National Provider Identifier
1720121973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2704 N Main St
Rockford, IL 61103 - Phone
- (815) 968-9300
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2704 N Main St
Rockford, IL 61103
Mailing address
5035 Linden Rd
Rockford, IL 61109-5840
Phone (815) 560-2399
Other practice location 1
125 S 4th St
Oregon, IL 61061-1609
Phone (815) 732-3157
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1720121973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5035 LINDEN RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611095840",
"telephone_number": "815-560-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N MAIN ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61103",
"telephone_number": "815-968-9300"
}
],
"practiceLocations": [
{
"address_1": "125 S 4th St",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "IL",
"postal_code": "610611609",
"country_code": "US",
"telephone_number": "815-732-3157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTWIG",
"first_name": "JILL",
"middle_name": "SUZANNE",
"credential": "BA CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.