Active NPI
Julianna Jones, LCPC
- Mental Health Counselor
- Rockford, IL
National Provider Identifier
1760045744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.011848
- Practice address
- 6653 Weaver Rd Ste 115
Rockford, IL 61114 - Phone
- (815) 491-6431
- NPI assigned
- Apr 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.011848 | IL | |
| Professional Counselor | 101YP2500X | 180.011848 | IL | |
| Mental Health Counselor | 101YM0800X | 180.011848 | IL | Primary |
Addresses
Primary practice location
6653 Weaver Rd Ste 115
Rockford, IL 61114
Mailing address
6653 Weaver Rd Ste 115
Rockford, IL 61114-8052
Phone (815) 491-6431
Other practice location 1
6156 Broadcast Pkwy
Loves Park, IL 61111-4488
Phone (815) 871-8592
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.011848 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1760045744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6653 WEAVER RD STE 115",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148052",
"telephone_number": "815-491-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6653 WEAVER RD STE 115",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114",
"telephone_number": "815-491-6431"
}
],
"practiceLocations": [
{
"address_1": "6156 Broadcast Pkwy",
"address_purpose": "LOCATION",
"city": "Loves Park",
"state": "IL",
"postal_code": "611114488",
"country_code": "US",
"telephone_number": "815-871-8592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JULIANNA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.011848",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011848",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.011848",
"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 Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.