Jacob Urbelis
Counselor in Rockford, IL. Individual provider (NPI-1).
NPI number1366005779
StatusActive
Last updated in NPPESApr 22, 2019
Details
- NPI
- 1366005779
- Entity type
- Individual (NPI-1)
- Name
- Jacob Urbelis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2019
- Last updated
- Apr 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
8616 Northern AveRockford, IL 61107-5309
Phone 815-332-8003
Mailing address
1021 N Mulford RdRockford, IL 61107-3877
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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