Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619790003 Individual Practitioner Male Practitioner

Jacob Waggoner

Counselor - Professional • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Jacob Waggoner is a registered healthcare professional specializing in Counselor - Professional in Chicago, IL. Practice services are available at 2043 W BELMONT AVE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2043 W Belmont Ave Ste 1

Chicago, IL 606186796

Telephone 3123244502

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2437 Specialists

Practicing in Chicago, IL (9683 Statewide)

Telehealth Adoption Rate
1.7% 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

CMS Verified: 2024-11-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

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

23 Associated Practitioners
NPI 1023651114

Licensed Clinical Social Worker

Megan Cohn

Social Worker - Clinical

NPI 1053102467
Nicole Diaz , MA, LPC

Counselor - Mental Health

NPI 1073109005

Master of Arts, Licensed Professional Counselor

Mackenzie Sullivan , MS, LMFT

Marriage & Family Therapist

NPI 1093369928

Master of Science, Licensed Marriage and Family Therapist

NPI 1114882677
Madeline Mcdonnell , LPC

Counselor - Mental Health

NPI 1134838261

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2024

Registered at 2043 W BELMONT AVE STE 1, CHICAGO, IL 606186796 (Tel: 3123244502)

📍
Updated Business Mailing Address November 04, 2024

Registered at 1344 W LUNT AVE APT 303, CHICAGO, IL 606263072 (Tel: 2488952933)

👤
Provider Name / Credentials Updated November 04, 2024

Recorded as JACOB WAGGONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2024

Counselor

🟢
Initial NPI Registration & Enumeration November 04, 2024

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: 1619790003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2024
Last Update: November 04, 2024
Sole Proprietor: No

Mailing Address

1344 W Lunt Ave Apt 303

Chicago, IL 606263072

Phone: 2488952933

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.