Active NPI
Bristlecone Therapy, PLLC
- Marriage & Family Therapist
- Wheaton, IL
National Provider Identifier
1780384289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- BRISTLECONE THERAPY, PLLC
- Practice address
- 315 S Naperville Rd
Wheaton, IL 60187-5423 - Phone
- (630) 492-1388
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jake Johnson, LMFT
- Title
- Owner
- Phone
- (630) 492-1388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
315 S Naperville Rd
Wheaton, IL 60187-5423
Mailing address
315 S Naperville Rd
Wheaton, IL 60187-5423
Phone (630) 492-1388
National Provider Directory
National Provider DirectoryLocations
2172 Blackberry Dr
Ste 205
Geneva, IL 60134
Phone (630) 765-3214
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Wheaton, IL
- NPI 1891045795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1780384289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S NAPERVILLE RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875423",
"telephone_number": "630-492-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S NAPERVILLE RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875423",
"telephone_number": "630-492-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRISTLECONE THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-492-1388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.