Jason Kougan, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.129650 Issued in IL

Practice address

414 Clinton PL Ste 106
River Forest, IL 60305-2248

Phone

(708) 866-6766

Fax

(708) 526-8311

NPI assigned

Jul 23, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Garden Health Group LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1639975881
  NPD (past)
• Lake Behavioral Health Associates, LLC

  • Clinical Psychologist
  • River Forest, IL
  • NPI 1467037754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1104747187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CLINTON PL STE 106",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052248",
            "telephone_number": "708-866-6766",
            "fax_number": "708-526-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CLINTON PL STE 106",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052248",
            "telephone_number": "708-866-6766",
            "fax_number": "708-526-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUGAN",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.129650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Klein, MED
• Isoken Koko, MD
• Lillian Kong, MPT
• Amy Kosnar-Parker
• Mary Kotjabaldiri, APN-PMHNP
• Mariya Koval, PHARMD
• Patricia M. Kowalik, D.D.S.
• Richard Francis Kraus, D.D.S.
• Sandesh Kuchipudi, M.D.
• Lake Behavioral Health Associates, LLC

• Social Worker in River Forest, IL
• Providers in River Forest, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.