MR. JASON ANDREW PECKELS M.S.ED. L.P.C. NPI 1568635910

NPI Information

  • NPI: 1568635910
  • Provider Name: MR. JASON ANDREW PECKELS, M.S.ED., L.P.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 433 PHELPS AVE
    SUITE #2
    ROCKFORD, IL
    ZIP 61108
  • Phone: (815) 397-4287

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NPI Details

MR. Jason Andrew Peckels, M.S.ED., L.P.C. is a professional counselor in Rockford, IL with 24 years of experience. MR. Jason Andrew Peckels, M.S.ED., L.P.C. NPI is 1568635910. 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:

433 PHELPS AVE
SUITE #2
ROCKFORD, IL
ZIP 61108-442
Phone: (815) 397-4287

The NPI 1568635910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 7/16/2014.

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
1101YP2500XCounselorProfessional3938-125WISCONSINNo
2101YP2500XCounselorProfessional180005895ILLINOISYes

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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