Active NPI
Jonathan Tlusty, M.A.
- Professional Counselor
- Skokie, IL
National Provider Identifier
1013346485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178008495
- Practice address
- 9239 Gross Point Rd
Suite 300
Skokie, IL 60077-1389 - Phone
- (847) 676-4447
- Fax
- (847) 676-4450
- NPI assigned
- Nov 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178008495 | IL | Primary |
Addresses
Primary practice location
9239 Gross Point Rd
Suite 300
Skokie, IL 60077-1389
Mailing address
9239 Gross Point Rd
Suite 300
Skokie, IL 60077-1389
Phone (847) 676-4447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178008495 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Contextual Change | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1013346485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9239 GROSS POINT RD",
"address_2": "SUITE 300",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771389",
"telephone_number": "847-676-4447",
"fax_number": "847-676-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9239 GROSS POINT RD",
"address_2": "SUITE 300",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771389",
"telephone_number": "847-676-4447",
"fax_number": "847-676-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TLUSTY",
"first_name": "JONATHAN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178008495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.