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JORDAN SEVILLE HENDERSON LPC
NPI 1811759244
Counselor - Mental Health in Chicago, IL

Active since January 30, 2024
1105 S WESTERN AVE, CHICAGO, IL 60612(773) 677-6349 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Seville Henderson Lpc NPPES

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

JORDAN SEVILLE HENDERSON LPC (NPI 1811759244) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.018592) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1811759244
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN SEVILLE HENDERSONCredential: LPC
Location Address1105 S WESTERN AVEChicago, IL 60612-4146
Mailing Address5858 W Fullerton Ave Apt 205Chicago, IL 60639-2362 · (773) 677-6349
Phone(773) 677-6349
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1811759244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.018592
1105 S WESTERN AVE, Chicago, IL 60612
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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.

LATESHA HARRIS-BOYD LCSW
Social Worker (Clinical)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
CHICAGO CITY OF
Clinic/Center (Mental Health (Including Community Mental Health Center))
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
CINDY ESTRADA LCPC
Counselor (Mental Health)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
DAWN T MITCHELL
Counselor (Professional)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
DANIELLE NICOLE PERTILLER LCPC
Counselor (Professional)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 744-5809

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 Henderson's NPI number?

The NPI number for Jordan Henderson is 1811759244. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Jordan Henderson located?

Jordan Henderson practices at 1105 S Western Ave, Chicago, IL 60612. The listed phone number is (773) 677-6349.

What is Jordan Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Henderson was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.