JULIA JORDAN-LAKE
NPI 1447880513
Counselor - Mental Health in Forest Park, IL

Active since January 17, 2020
7421 MADISON ST, FOREST PARK, IL 60130(615) 975-2774 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Julia Jordan-lake NPPES

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

JULIA JORDAN-LAKE (NPI 1447880513) is an individual mental health provider in Forest Park, Illinois, licensed in Illinois (178.015637) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1447880513
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJULIA JORDAN-LAKE
Location Address7421 MADISON STForest Park, IL 60130-1575
Mailing Address506 N Cuyler Ave Apt 2rOak Park, IL 60302-2378 · (615) 975-2774
Sole ProprietorNo
Enumeration DateJanuary 17, 2020
Last NPPES UpdateJanuary 20, 20202 updates tracked since enumeration
NPI 1447880513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.015637
7421 MADISON ST, Forest Park, IL 60130

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
7421 MADISON ST
FOREST PARK, IL 60130
Occupational Therapist (Pediatrics)
7421 MADISON ST
FOREST PARK, IL 60130
Speech-Language Pathologist
7421 MADISON ST
FOREST PARK, IL 60130
Occupational Therapist
7421 MADISON ST
FOREST PARK, IL 60130
Speech-Language Pathologist
7421 MADISON ST
FOREST PARK, IL 60130
Speech-Language Pathologist
7421 MADISON ST
FOREST PARK, IL 60130
Occupational Therapist (Pediatrics)
7421 MADISON ST
FOREST PARK, IL 60130
Speech-Language Pathologist
7421 MADISON ST
FOREST PARK, IL 60130

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 Julia Jordan-lake's NPI number?

The NPI number for Julia Jordan-lake is 1447880513. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Julia Jordan-lake located?

Julia Jordan-lake practices at 7421 Madison St, Forest Park, IL 60130. The listed phone number is (615) 975-2774.

What is Julia Jordan-lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Julia Jordan-lake was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.