JONATHAN CAVANAUGH
NPI 1629374202
Counselor - Professional in Blue Island, IL

Q: What is Jonathan Cavanaugh's NPI number?

The NPI number for Jonathan Cavanaugh is 1629374202. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Q: What is Jonathan Cavanaugh's specialty?

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

Active since January 31, 2011PECOS EnrolledAccepts Medicare Assignment

12145 WESTERN AVE, BLUE ISLAND, IL 60406(773) 432-6236 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Cavanaugh NPPES

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

JONATHAN CAVANAUGH (NPI 1629374202) is an individual professional provider in Blue Island, Illinois, licensed in Illinois (180.008799) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629374202

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJONATHAN CAVANAUGH

Location Address12145 WESTERN AVEBlue Island, IL 60406-1387

Mailing Address12145 Western AveBlue Island, IL 60406-1387

Phone(773) 432-6236

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 31, 2011

Last NPPES UpdateDecember 23, 2014

✔ NPI 1629374202 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 · 180.008799

12145 WESTERN AVE, Blue Island, IL 60406

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Cavanaugh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698215291

PECOS Enrollment IDI20240910003204

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

69 services11 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

60 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

19 services19 patients

Other Providers at the Same Location NPPES 5

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

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