1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

JACOB WAGGONER
NPI 1619790003
Counselor - Professional in Chicago, IL

Active since November 04, 2024
2043 W BELMONT AVE STE 1, CHICAGO, IL 60618(312) 324-4502 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Waggoner NPPES

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

JACOB WAGGONER (NPI 1619790003) is an individual professional provider in Chicago, Illinois and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1619790003
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB WAGGONER
Location Address2043 W BELMONT AVE STE 1Chicago, IL 60618-6796
Mailing Address1344 W Lunt Ave Apt 303Chicago, IL 60626-3072 · (248) 895-2933
Phone(312) 324-4502
Sole ProprietorNo
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1619790003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2043 W BELMONT AVE STE 1, Chicago, IL 60618
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

REAGAN LOCKWOOD MOT, OTR/L
Occupational Therapist (Pediatrics)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (773) 332-9439
MEGAN COHN
Social Worker (Clinical)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (312) 324-4502
SPENCER RYBACKI
Counselor
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (312) 324-4502
MS. LEE DAL PRA LCSW
Social Worker (Clinical)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (312) 667-3775
SARAH LYDON
Speech-Language Pathologist
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (773) 332-9439
JULIE MCCLELLAN
Social Worker (Clinical)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (312) 667-3775
KELLY BUCHER
Counselor (Professional)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (312) 324-4502
ASHLEY HELEINE
Occupational Therapist (Pediatrics)
2043 W BELMONT AVE STE 1
CHICAGO, IL 60618
Cook County (773) 332-9439

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 Jacob Waggoner's NPI number?

The NPI number for Jacob Waggoner is 1619790003. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Jacob Waggoner located?

Jacob Waggoner practices at 2043 W Belmont Ave Ste 1, Chicago, IL 60618. The listed phone number is (312) 324-4502.

What is Jacob Waggoner's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Waggoner was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.