Active NPI 1225643174 Individual Practitioner Male Practitioner

Jay Jackson Swanson

Counselor - Professional • Rockford, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jay Swanson is a registered healthcare professional specializing in Counselor - Professional in Rockford, IL. Official NPI practice address is registered at 6072 BRYNWOOD DR STE 205.

Practice Location & Contact Primary Location

Practice Address

6072 Brynwood Dr Ste 205

Rockford, IL 611145829

Telephone 8158460684

Fax 8888272114

Associated Practice Facility / Clinic

🏢 Mosaic Counseling Services, Inc Facility NPI 1205570843

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rockford, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.6 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

172 Specialists

Practicing in Rockford, IL (9683 Statewide)

Telehealth Adoption Rate

5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-15

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180016565

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Stephanie Yates , LCPC

Counselor - Professional

NPI 1003319781

Licensed Clinical Professional Counselor

Ant Walach

Counselor - Mental Health

NPI 1962388629

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2025

Counselor (License #180016565 in IL)

📍

Updated Practice Location May 30, 2023

Registered at 6072 BRYNWOOD DR STE 205, ROCKFORD, IL 611145829 (Tel: 8158460684)

📍

Updated Business Mailing Address August 30, 2021

Registered at 4432 GLENMORE RD, ROCKTON, IL 610723234 (Tel: 8157210189)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Counselor (License #178017319 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Counselor

✅

NPI Profile Active September 08, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2020

Registered at 1845 GRANDSTAND PL, ELGIN, IL 601236603 (Tel: 8476950484)

📍

Updated Business Mailing Address September 08, 2020

Registered at 1251 ROXBURY CLOSE, ROCKFORD, IL 611073761

👤

Provider Name / Credentials Updated September 08, 2020

Recorded as JAY SWANSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Counselor

🟢

Initial NPI Registration & Enumeration September 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1225643174

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 08, 2020

Last Update: August 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4432 Glenmore Rd

Rockton, IL 610723234

Phone: 8157210189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.