JASON RELLE LPC AMFT NPI 1306194923

NPI Information

  • NPI: 1306194923
  • Provider Name: JASON RELLE, LPC, AMFT
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 8616 NORTHERN AVE
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 338-8003

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NPI Details

Jason Relle, LPC, AMFT is a professional counselor in Rockford, IL. Jason Relle, LPC, AMFT NPI is 1306194923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8616 NORTHERN AVE
ROCKFORD, IL
ZIP 61107-309
Phone: (815) 338-8003
Fax: (815) 332-6090

The enumeration date for this NPI number is 8/29/2012 and was last updated on 9/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist208.000240ILLINOISNo
2101YP2500XCounselorProfessional178.008877ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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