MR. JAY JACKSON SWANSON (NPI# 1225643174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225643174 |
| Entity Type | Individual |
| Full Name | MR. JAY JACKSON SWANSON |
| Practice Address |
1845 Grandstand Pl Elgin IL 60123-6603 |
| Mailing Address |
1251 Roxbury Close Rockford IL 61107-3761 |
| Practice Telephone | 8476950484 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346265675 | Jay V Swanson | Family Medicine | 1425 S Greenfield Rd #101, 101, Mesa, AZ 85206-5529 | 2006-07-13 |
| 1649681651 | Jay Swanson | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2014-05-13 |
| 1750644191 | Jay Richard Swanson | Registered Nurse | 191 N Main St, Wellsville, NY 14895-1150 | 2012-06-20 |
| 1811166614 | Jay Ivor Swanson | Dentist | 901 Medical Park Dr, Effingham, IL 62401-2191 | 2008-02-26 |
| Street Address |
1845 GRANDSTAND PL |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275629263 | Daphne Sandouka | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2006-10-05 |
| 1649879123 | Rizik Mohammad | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-26 |
| 1649877606 | Daniel James Gibadlo | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-02 |
| 1689281073 | Melissa Pazen | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-29 |
| 1205441649 | Erik Malinowski | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-12 |
| 1487267985 | Kira Lucille Spears | Case Manager/Care Coordinator | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-25 |
| 1649880402 | Matthew F Aguilar | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-06 |
| 1306455308 | Michael Richard Jenig | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-07-26 |
| 1972129153 | Courtney Perrin | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-06-23 |
| 1124644885 | Ecker Center for Behavioral Health | Clinic/Center | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564095 | Eliza K Adams | Counselor | 107 Stonehurst Dr, Elgin, IL 60120-4661 | 2019-08-23 |
| 1003356742 | Anthony Dillard Sr. | Counselor | 995 Bode Rd, Elgin, IL 60120-4523 | 2017-02-28 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1245417302 | Debra K. Hirschberg and Associates, Inc. | Counselor | 109 Hill Ave, Elgin, IL 60120-4412 | 2008-01-30 |
| 1598882854 | Courtney Jahn | Counselor | 675 Varsity Dr, Elgin, IL 60120-8176 | 2007-03-23 |
| 1629194501 | Deborah Mary Mcellin | Counselor | 675 Varsity Drive, Elgin, IL 60120-8176 | 2007-03-22 |
| 1528107950 | Luanne Maniacek | Counselor | 2050 Larkin Ave., Suite 202, Elgin, IL 60123-0000 | 2007-02-05 |
| 1124031653 | Karen S Chesney | Counselor | 551 Tollgate Rd Ste F, Elgin, IL 60123-9357 | 2006-08-14 |
| 1295380277 | Waseem Khalaf | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-08-06 |
| 1821557919 | Solana Alexandra Victoria | Counselor | 2 American Way, Elgin, IL 60120-4341 | 2019-03-18 |
| Find all providers in ELGIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.