DR. JONATHON EUGENE LARSON ED.D., CRC, LCPC
NPI 1629297098
Counselor - Professional in Beach Park, IL

Active since April 24, 2007
11316 W WADSWORTH RD, SUITE 102, BEACH PARK, IL 60099(224) 216-0095 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathon Eugene Larson Ed.d., Crc, Lcpc NPPES

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

DR. JONATHON EUGENE LARSON ED.D., CRC, LCPC (NPI 1629297098) is an individual professional provider in Beach Park, Illinois, licensed in Illinois (180.0064665) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1629297098
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JONATHON EUGENE LARSONCredential: ED.D., CRC, LCPC
Location Address11316 W WADSWORTH RD, SUITE 102Beach Park, IL 60099
Mailing Address920 Washington AvenueWinthrop Harbor, IL 60096 · (224) 216-0095
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateDecember 16, 2016
NPI 1629297098 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 · 180.0064665
11316 W WADSWORTH RD, Beach Park, IL 60099

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.

Dentist
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Surgery
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Dentist (General Practice)
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Chiropractor
11316 W WADSWORTH RD
BEACH PARK, IL 60099

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 Jonathon Larson's NPI number?

The NPI number for Jonathon Larson is 1629297098. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Jonathon Larson located?

Jonathon Larson practices at 11316 W Wadsworth Rd Suite 102, Beach Park, IL 60099. The listed phone number is (224) 216-0095.

What is Jonathon Larson'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 Jonathon Larson was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.