Jonathan Colledge, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015159 Issued in IL

Practice address

307 N Michigan Ave Ste 412
Chicago, IL 60601-5318

Phone

(312) 772-4768

NPI assigned

Mar 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Shore Therapy Group

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1932983210
  NPD Authorized official
• Collective Hope, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1245615582
  NPD (past)
• Lincoln Park Therapy Group

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1144672908
  NPD (past)

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1356926034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 240",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624022",
            "telephone_number": "312-772-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MICHIGAN AVE STE 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015318",
            "telephone_number": "312-772-4768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "899 Skokie Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624022",
            "country_code": "US",
            "telephone_number": "815-496-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLEDGE",
        "first_name": "JONATHAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-14",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015159",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha C Collazo, PSY.D.
• Collected in the Space
• Collective Hope, LLC
• Collective Insight PLLC
• Collective Shakti Counseling PC
• Colleen Nitsche, LTD
• Colleen O'Brien LLC
• College of Nursing Faculty Practice
• College of Nursing Faculty Practice
• College of Nursing Faculty Practice

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.