JONATHAN ANDERSON
NPI 1396122362
Counselor - Professional in Arlington Heights, IL

Active since April 29, 2015PECOS Enrolled
1655 N ARLINGTON HEIGHTS RD STE 301W, ARLINGTON HEIGHTS, IL 60004(224) 735-3935 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jonathan Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN ANDERSON (NPI 1396122362) is an individual professional provider in Arlington Heights, Illinois, licensed in Illinois (178009461) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396122362
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN ANDERSON
Location Address1655 N ARLINGTON HEIGHTS RD STE 301WArlington Heights, IL 60004-3900
Mailing Address3436 N Kennicott AveArlington Heights, IL 60004-7814 · (847) 952-7460 · Fax (847) 222-1754
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateSeptember 19, 2018
NPI 1396122362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178009461
1655 N ARLINGTON HEIGHTS RD STE 301W, Arlington Heights, IL 60004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719495126
PECOS Enrollment IDI20250805003715
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1655 N ARLINGTON HEIGHTS RD STE 301W
ARLINGTON HEIGHTS, IL 60004
Clinic/Center (Radiology, Mobile)
1655 N ARLINGTON HEIGHTS RD STE 301W
ARLINGTON HEIGHTS, IL 60004
Counselor (Professional)
1655 N ARLINGTON HEIGHTS RD STE 301W
ARLINGTON HEIGHTS, IL 60004
Clinic/Center (Rehabilitation, Substance Use Disorder)
1655 N ARLINGTON HEIGHTS RD STE 301W
ARLINGTON HEIGHTS, IL 60004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Anderson's NPI number?

The NPI number for Jonathan Anderson is 1396122362. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Jonathan Anderson located?

Jonathan Anderson practices at 1655 N Arlington Heights Rd Ste 301W, Arlington Heights, IL 60004. The listed phone number is (224) 735-3935.

What is Jonathan Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jonathan Anderson enrolled in Medicare?

Yes. Jonathan Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Anderson was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.