Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649069816 Individual Practitioner Male Practitioner

Jonathan Connor Self

Counselor - School • Dixon, IL

Professional Overview & Biography Verified Profile Summary

Jonathan Self is a registered healthcare professional specializing in Counselor - School in Dixon, IL. Practice services are available at 640 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

640 2nd Ave

Dixon, IL 610211914

Telephone 6307708983

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Dixon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Dixon, IL (48 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

CMS Verified: 2025-05-05
Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License IL 899731

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 05, 2025

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2025

Registered at 640 2ND AVE, DIXON, IL 610211914 (Tel: 6307708983)

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Updated Business Mailing Address May 05, 2025

Registered at 640 2ND AVE, DIXON, IL 610211914 (Tel: 6307708983)

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Provider Name / Credentials Updated May 05, 2025

Recorded as JONATHAN SELF

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2025

Counselor (License #899731 in IL)

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Initial NPI Registration & Enumeration May 05, 2025

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: 1649069816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2025
Last Update: May 05, 2025
Sole Proprietor: Yes

Mailing Address

640 2nd Ave

Dixon, IL 610211914

Phone: 6307708983

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.