Active NPI 1689269003 Individual Practitioner Male Practitioner

Eric Jon Tanner , LCPC

Counselor - Professional • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eric Tanner, LCPC is a certified Counselor - Professional practicing in Rockford, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Eric Tanner delivers high-quality medical care to the local community at 5301 E STATE ST STE 106.

Eric Tanner accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5301 E State St Ste 106

Rockford, IL 611082388

Telephone 7792124721

Associated Practice Facility / Clinic

🏢 Imagine More Counseling Solutions Llc Facility NPI 1598346561

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rockford, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -3.6 yrs vs City Avg

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

Clinical Seniority & Experience Comparison

Dr. Tanner (10 Years) 10 Yrs

Rockford Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-09

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.13458

Definition to come...

Secondary Practice Locations

3716 Marieme Dr

Rockford, IL 611081933

Phone: 6303904110

5906 Elaine Dr Ste 109

Rockford, IL 611082467

Phone: 7792124721

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 09, 2026

Registered at 5301 E STATE ST STE 106, ROCKFORD, IL 611082388 (Tel: 7792124721)

📍

Updated Practice Location April 21, 2025

Registered at 5906 ELAINE DR STE 109, ROCKFORD, IL 611082467 (Tel: 7792124721)

📍

Updated Practice Location October 15, 2024

Registered at 11361 MAIN ST, ROSCOE, IL 610738851 (Tel: 7792124721)

📍

Updated Business Mailing Address October 15, 2024

Registered at 7431 E STATE ST STE 354, ROCKFORD, IL 611082678 (Tel: 7792124721)

✅

NPI Profile Active March 08, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2021

Registered at 3716 MARIEME DR, ROCKFORD, IL 611081933 (Tel: 6303904110)

📍

Updated Business Mailing Address March 08, 2021

Registered at 3716 MARIEME DR, ROCKFORD, IL 611081933 (Tel: 6303904110)

👤

Provider Name / Credentials Updated March 08, 2021

Recorded as ERIC TANNER, LCPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2021

Counselor (License #180.13458 in IL)

🟢

Initial NPI Registration & Enumeration March 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689269003

Entity Type:

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

Enumeration Date: March 08, 2021

Last Update: June 09, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7431 E State St Ste 354

Rockford, IL 611082678

Phone: 7792124721

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.