JACALYN DALE FISCHER-CASEY (NPI# 1659354330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659354330 |
| Entity Type | Individual |
| Full Name | JACALYN DALE FISCHER-CASEY |
| Credential | L.C.P.C. |
| Practice Address |
631 N Longwood St Ste 203 Rockford IL 61107-4266 |
| Practice Telephone | 8159626100 |
| Practice Fax Number | 8159626107 |
| Mailing Telephone | 8159626100 |
| Mailing Fax Number | 8159626107 |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3810 | IL | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
631 N LONGWOOD ST STE 203 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437135852 | Martin E. Wolff | Psychologist | 631 N Longwood St, Suite 203, Rockford, IL 61107-4266 | 2005-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003319781 | Stephanie Yates | Counselor | 433 Phelps Ave Ste 2, Rockford, IL 61108-2442 | 2018-03-09 |
| 1154799427 | Darcie Hanna | Counselor | 4984 Riveroaks Road, Rockford, MN 55373-1100 | 2015-09-03 |
| 1588909923 | Restore Counseling & Recovery, Inc. | Counselor | 7210 E State St, Suite 206, Rockford, IL 61108-2622 | 2012-12-11 |
| 1497982151 | Jonathan Scott Nelson | Counselor | 129 Phelps Ave Ste 204, Rockford, IL 61108-2447 | 2009-06-19 |
| 1376634394 | Alison Wintrode | Counselor | 5301 East State St., #302, Rockford, IL 61108 | 2006-09-27 |
| 1770196537 | Alexandra Lundsteen | Counselor | 1601 University Dr, Rockford, IL 61107-5317 | 2020-08-30 |
| 1306464185 | Lisa Espig | Counselor | 1021 N Mulford Rd, Rockford, IL 61107-3874 | 2020-07-08 |
| 1619521945 | Beth Marie Mutton | Counselor | 7294 Argus Dr, Rockford, IL 61107-5837 | 2019-07-25 |
| 1770991820 | Ann Marie Petty | Counselor | 1200 W State St, Rockford, IL 61102-2112 | 2014-07-31 |
| 1447522750 | Craig Stallings | Counselor | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2012-02-01 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.