Active NPI 1629297098 Individual Practitioner Male Practitioner

Dr. Jonathon Eugene Larson , EdD, CRC, LCPC

Counselor - Professional • Beach Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jonathon Larson, EdD, CRC, LCPC is a registered healthcare professional specializing in Counselor - Professional in Beach Park, IL. Practice services are available at 11316 W WADSWORTH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11316 W Wadsworth Rd
Suite 102

Beach Park, IL 60099

Telephone 2242160095

Associated Practice Facility / Clinic

🏢 Tayseer A Ibrahim Dds Pc Facility NPI 1235356635

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Beach Park, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Beach Park, IL (9683 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.0064665

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Tayseer Ibrahim

Dentist - General Practice

NPI 1336163484

Dr. John Patenaude , DC

Chiropractor

NPI 1871660548

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2016

Registered at 11316 W WADSWORTH RD, SUITE 102, BEACH PARK, IL 60099 (Tel: 2242160095)

📍

Updated Business Mailing Address December 16, 2016

Registered at 920 WASHINGTON AVENUE, WINTHROP HARBOR, IL 60096 (Tel: 2242160095)

👤

Provider Name / Credentials Updated December 16, 2016

Recorded as JONATHON LARSON, ED.D., CRC, LCPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Counselor (License #180.0064665 in IL)

🟢

Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1629297098

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2007

Last Update: December 16, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

920 Washington Avenue

Winthrop Harbor, IL 60096

Phone: 2242160095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.