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JORDAN RICHARD KNUDSEN
NPI 1720872039
Counselor in Melrose Park, IL

Active since April 09, 2025
4419 W NORTH AVE, MELROSE PARK, IL 60160(773) 205-4558 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Richard Knudsen NPPES

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

JORDAN RICHARD KNUDSEN (NPI 1720872039) is an individual counselor in Melrose Park, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1720872039
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN RICHARD KNUDSEN
Location Address4419 W NORTH AVEMelrose Park, IL 60160-1021
Mailing Address4419 W North AveMelrose Park, IL 60160-1021
Phone(773) 205-4558
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1720872039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4419 W NORTH AVE, Melrose Park, IL 60160
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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.

MS. AGNIESZKA ALINA WYSOCKA
Counselor (Professional)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
LISA JEAN LEVY
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
MISS ANDREA CELESTE PACHECO
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
NOEL CORDOVA CADC, LPC
Counselor (Professional)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
STEPHANIE ANN VERMILLION
Counselor (Professional)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 450-1798
ANGELES ELIZABETH VAZQUEZ
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 205-4587
MITCHELL KRUCKENBERG MED, LPC
Counselor (Mental Health)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
MR. LAWRENCE WOZNICKI MS,CADC
Counselor (Addiction (Substance Use Disorder))
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112

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 Jordan Knudsen's NPI number?

The NPI number for Jordan Knudsen is 1720872039. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Jordan Knudsen located?

Jordan Knudsen practices at 4419 W North Ave, Melrose Park, IL 60160. The listed phone number is (773) 205-4558.

What is Jordan Knudsen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Knudsen was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.