JONATHAN COLLEDGE LCPC
NPI 1356926034
Counselor - Professional in Chicago, IL
Active since March 14, 2021
About Jonathan Colledge Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN COLLEDGE LCPC (NPI 1356926034) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.015159) and active in the NPI registry since March 2021. He maintains a secondary practice location in Northbrook.
NPPES Registry Identity
NPI1356926034
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN COLLEDGECredential: LCPC
Location Address307 N MICHIGAN AVE STE 412Chicago, IL 60601-5318
Mailing Address899 Skokie Blvd Ste 240Northbrook, IL 60062-4022 · (312) 772-4768
Phone(312) 772-4768
Sole ProprietorNo
Enumeration DateMarch 14, 2021
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1356926034 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.015159✔ Licensed in IL · 178.014206
307 N MICHIGAN AVE STE 412, Chicago, IL 60601
Secondary Practice Location 1
Location 1899 Skokie Blvd Ste 240Northbrook, IL 60062-4022 · Phone (815) 496-0620
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Adult Mental Health)
307 N MICHIGAN AVE STE 412
CHICAGO, IL 60601
CHICAGO, IL 60601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356926034, enumerated as an "individual" on March 14, 2021.
The provider is located at 307 N MICHIGAN AVE STE 412 CHICAGO, IL 60601 and the phone number is (312) 772-4768.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
