LAKE SHORE THERAPY GROUP
NPI 1932983210
Counselor - Mental Health in Northbrook, IL
Active since August 21, 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
Phone(815) 496-0620
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
The NPI number assigned to this healthcare provider is 1932983210, enumerated as an "organization" on August 21, 2023.
The provider is located at 899 SKOKIE BLVD STE 240 NORTHBROOK, IL 60062 and the phone number is (815) 496-0620.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
