Individual provider Active NPI

Jason Knorr, M.S., LCPC

  • Professional Counselor
  • Lisle, IL
National Provider Identifier
1730336579
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006231 Issued in IL
Practice address
4513 Lincoln Ave
RT.53, Suite 109a
Lisle, IL 60532-1289
Phone
(630) 670-7130
NPI assigned
Aug 23, 2008
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180006231 IL Primary
Case Manager/Care Coordinator 171M00000X 180.006231 IL

Addresses

Primary practice location

4513 Lincoln Ave
RT.53, Suite 109a
Lisle, IL 60532-1289

Mailing address

4513 Lincoln Ave
RT.53, Suite 109a
Lisle, IL 60532-1289
Phone (630) 670-7130

Other practice location 1

135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000083 IL Practitioner - Mental Health Counselor 1456702315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Midwest HealthGroup PAC ID 4486556727, 14 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (708) 856-9000

135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.006231ILMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Du Page Pathology Associates SC Current Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2024 Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

135 N Oak St
Hinsdale, IL 60521
Phone (630) 856-8900

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: jknorr@direct.dupagehealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1730336579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "RT.53, SUITE 109A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-670-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "RT.53, SUITE 109A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-670-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213860",
            "country_code": "US",
            "telephone_number": "630-856-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNORR",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "M.S., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006231",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "180.006231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.