Jason Scott Cole, LCPC, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.004934 Issued in IL

Practice address

705 N Sparkle CT
Oswego, IL 60543-7942

Phone

(630) 913-7045

Fax

(630) 551-2213

NPI assigned

Aug 22, 2009

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Innovative Behavioral Health, P.C.

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1730295841
  NPD (past)

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250899200000",
    "number": "1407088503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 S MARATHON LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856178",
            "telephone_number": "630-605-6019",
            "fax_number": "630-551-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N SPARKLE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437942",
            "telephone_number": "630-913-7045",
            "fax_number": "630-551-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.004934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Oswego, IL
• Providers in Oswego, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.