Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Jon Tanner, LCPC

Individual provider Professional Counselor · NPI 1689269003

Eric Jon Tanner, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2016, 10 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2021
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

5301 E State St Ste 106
Rockford, IL 61108-2388
Phone: (779) 212-4721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3716 Marieme Dr, Rockford, IL 61108-1933 — (630) 390-4110
  • 5906 Elaine Dr Ste 109, Rockford, IL 61108-2467 — (779) 212-4721

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.13458 (IL)

Record details

NPI number1689269003
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address7431 E State St Ste 354, Rockford, IL 61108-2678

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford