Active NPI
Confluence Individual and Relationship Counseling LLC
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1942909429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CONFLUENCE INDIVIDUAL AND RELATIONSHIP COUNSELING LLC
- Practice address
- 4301 N Main St
Rockford, IL 61103-1279 - Phone
- (815) 222-1679
- NPI assigned
- Feb 23, 2023
- Reactivated
- Dec 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James B Garrison, LCSW CADC
- Title
- Owner
- Phone
- (815) 222-1679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4301 N Main St
Rockford, IL 61103-1279
Mailing address
4301 N Main St
Rockford, IL 61103-1279
Phone (815) 222-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240618002681 | IL | Part B Supplier - Clinic/Group Practice | 2860935814 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Roscoe, IL |
National Provider Directory
National Provider DirectoryLocations
4301 N Main St
Rockford, IL 61103
Phone (815) 200-9527
Ownership & related parties
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roscoe, IL
- NPI 1326898909
O20240618002681
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1942909429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N MAIN ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611031279",
"telephone_number": "815-222-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N MAIN ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611031279",
"telephone_number": "815-222-1679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONFLUENCE INDIVIDUAL AND RELATIONSHIP COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-23",
"last_updated": "2025-12-16",
"certification_date": "2024-03-25",
"deactivation_date": "2025-09-15",
"reactivation_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "GARRISON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-222-1679",
"authorized_official_credential": "LCSW CADC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.