Active NPI
Jason Knorr, M.S., LCPC
- Professional Counselor
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006231
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006231 | IL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Du Page Pathology Associates SC | Current | Accepting new patients | |
| Adventist Midwest Health | Current | Accepting new patients | |
| Adventist Midwest Health | Current | 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
- 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.
-
dba Adventhealth Hinsdale
- Cardiovascular Disease Physician
- Hinsdale, IL
- NPI 1962570382
-
dba Hinsdale Hospital Pediatric Services
- Pediatrics Physician
- Hinsdale, IL
- NPI 1578746178
-
- Anatomic Pathology & Clinical Pathology Physician
- Hinsdale, IL
- NPI 1003815457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.