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

Jason Relle, LPC, AMFT

Individual provider Professional Counselor · NPI 1306194923

Jason Relle, LPC, AMFT is a Professional Counselor in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

8616 Northern Ave
Rockford, IL 61107-5309
Phone: (815) 338-8003
Fax: (815) 332-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.008877 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 208.000240 (IL)

Record details

NPI number1306194923
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , AMFT
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESSeptember 9, 2013
Mailing address1021 N Mulford Rd, Rockford, IL 61107-3877

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