LAKE SHORE THERAPY GROUP
NPI 1932983210
Counselor - Mental Health in Northbrook, IL

Active since August 21, 2023
899 SKOKIE BLVD STE 240, NORTHBROOK, IL 60062(815) 496-0620 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2026, Aug 21, 2023 (2 updates tracked since 2023).

About Lake Shore Therapy Group NPPES

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

LAKE SHORE THERAPY GROUP (NPI 1932983210) is a healthcare organization registered as a mental health in Northbrook, Illinois and active in the NPI registry since August 2023. The organization maintains 2 additional practice locations and lists Jonathan Colledge, Therapist, as its authorized official.

NPPES Registry Identity

NPI1932983210
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLAKE SHORE THERAPY GROUP
Location Address899 SKOKIE BLVD STE 240Northbrook, IL 60062-4022
Mailing Address899 Skokie Blvd Ste 240Northbrook, IL 60062-4022 · (312) 772-4768
Organization SubpartNo
Authorized OfficialJonathan ColledgeTherapist · (330) 858-3312
Enumeration DateAugust 21, 2023
Last NPPES UpdateApril 25, 20262 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
NPI 1932983210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
899 SKOKIE BLVD STE 240, Northbrook, IL 60062

Secondary Practice Locations 2

Location 1540 W Frontage Rd Ste 2235Northfield, IL 60093-1228 · Phone (312) 772-4768
Location 2307 N Michigan Ave Ste 412Chicago, IL 60601-5318 · Phone (312) 772-4768

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lake Shore Therapy Group's NPI number?

The NPI number for Lake Shore Therapy Group is 1932983210. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Lake Shore Therapy Group located?

Lake Shore Therapy Group is located at 899 Skokie Blvd Ste 240, Northbrook, IL 60062. The listed phone number is (815) 496-0620.

What is Lake Shore Therapy Group'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 Lake Shore Therapy Group was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.