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Active NPI 1629374202 Individual Practitioner Male Practitioner

Jonathan Cavanaugh

Counselor - Professional • Blue Island, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Cavanaugh is a certified Counselor - Professional practicing in Blue Island, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Jonathan Cavanaugh delivers high-quality medical care to the local community at 12145 WESTERN AVE.

Jonathan Cavanaugh is affiliated with Cmc Healthcare Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12145 Western Ave

Blue Island, IL 604061387

Telephone 7734326236
Associated Practice Facility / Clinic
🏢 The Thresholds Facility NPI 1790588580

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Blue Island, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -4.7 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Blue Island, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cavanaugh (16 Years) 16 Yrs
Blue Island Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
69 11 $142.00 $52.04
90837 Psychotherapy, 60 minutes
60 11 $285.00 $115.69
90791 Psychiatric diagnostic evaluation
19 19 $291.00 $130.86

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.008799

Definition to come...

Hospital & Practice Group Affiliations

Cmc Healthcare Llc

1251 E Richton Rd, Crete, IL 604171623

Phone: 7086726700

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dorothy Range , LSW

Social Worker

NPI 1518435817

Licensed Social Worker

Rachel Menor , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1528679446

Certified Alcohol and Drug Counselor

Ann Brekke , LCPC

Counselor - Professional

NPI 1528697364

Licensed Clinical Professional Counselor

Colten Coffin , MA, LCSW

Social Worker - Clinical

NPI 1891208419

Master of Arts, Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2014

Registered at 12145 WESTERN AVE, BLUE ISLAND, IL 604061387 (Tel: 7734326236)

📍
Updated Business Mailing Address December 23, 2014

Registered at 12145 WESTERN AVE, BLUE ISLAND, IL 604061387

👤
Provider Name / Credentials Updated December 23, 2014

Recorded as JONATHAN CAVANAUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2014

Counselor (License #180.008799 in IL)

🟢
Initial NPI Registration & Enumeration January 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629374202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2011
Last Update: December 23, 2014
Sole Proprietor: No

Mailing Address

12145 Western Ave

Blue Island, IL 604061387

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.