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

Mr. Jacob R Wilson, BA

Individual provider Mental Health Counselor · NPI 1023318276

Mr. Jacob R Wilson, BA is a Mental Health Counselor in Rockford, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

8616 Northern Ave
Rockford, IL 61107-5309
Phone: (815) 391-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023318276
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedOctober 21, 2010
Last updated in NPPESJuly 31, 2014

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