JONATHAN CONNOR SELF
NPI 1649069816
Counselor - School in Dixon, IL
About Jonathan Connor Self NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN CONNOR SELF (NPI 1649069816) is an individual school provider in Dixon, Illinois, licensed in Illinois (899731) and active in the NPI registry since May 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Self's NPI number?
The NPI number for Jonathan Self is 1649069816. It was assigned to this individual provider in the NPPES registry on May 5, 2025.
Where is Jonathan Self located?
Jonathan Self practices at 640 2nd Ave, Dixon, IL 61021. The listed phone number is (630) 770-8983.
What is Jonathan Self's specialty?
The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.
When was this NPI record last updated?
The NPPES record for Jonathan Self was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jonathan Connor Self · NPI 1649069816
School provider in Dixon, Illinois. Individual provider, active in the CMS NPPES registry since May 5, 2025.
## Identity
- **NPI:** 1649069816 (Entity type: Individual)
- **Enumerated:** May 5, 2025
- **Primary specialty:** Counselor - School · taxonomy 101YS0200X
- **State license:** 899731 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 640 2ND AVE, Dixon, IL 61021-1914
- **Phone:** (630) 770-8983
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649069816) · Data from the CMS NPPES public registry.