Jon Ashworth

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178005357 Issued in IL

Practice address

2713 Sallmon Ave
Waukegan, IL 60087-3514

Phone

(847) 721-2202

Fax

(847) 574-7513

NPI assigned

May 20, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jon@consultingpartnerships.org

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1528706504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 SALLMON AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600873514",
            "telephone_number": "847-721-2202",
            "fax_number": "847-574-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 SALLMON AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600873514",
            "telephone_number": "847-721-2202",
            "fax_number": "847-574-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "JON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178005357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178005357",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jon@ConsultingPartnerships.org",
            "affiliation": "N",
            "address_1": "2713 Sallmon Ave",
            "city": "Waukegan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600873514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Courtney Marie Atkinson

• Professional Counselor in Waukegan, IL
• Providers in Waukegan, 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 20, 2022; 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.