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

Michelle Nelson

Individual provider Professional Counselor · NPI 1093529380

Michelle Nelson is a Mental Health Counselor in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2025

Practice location Address checks out

2704 N Main St
Rockford, IL 61103-3112
Phone: (815) 391-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.021193 (IL)

Record details

NPI number1093529380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address6364 Foxdale St, Roscoe, IL 61073-8356

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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