Jon Dodds PHD LCPC LTD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180005114 Issued in IL

Legal business name

JON DODDS PHD LCPC LTD

Practice address

750 Almar Pkwy
Suite 202
Bourbonnais, IL 60914-2315

Phone

(815) 935-5053

Fax

(815) 614-3617

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jon Edward Dodds, PHD, LCPCNPI 1790897429

Title

Owner

Phone

(815) 935-5053

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon E Dodds, LCPC

  • Counselor
  • Bourbonnais, IL
  • NPI 1790897429
  NPD (past) Authorized official

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1912378944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 202",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-935-5053",
            "fax_number": "815-614-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 202",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-935-5053",
            "fax_number": "815-614-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON DODDS PHD LCPC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-935-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180005114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Hung, M.D.,S.C.
• Naima Johnson
• Sarah E Johnson, BCBA
• Nancy Johnston, LPC
• Jojo Saysons Physical Therapy and Rehabilitation LLC
• Roy E Jonas, MD
• Dorothy Ann Jones, M.S. CCC-SLP
• Julie M Leidecker LTD
• Snigdha Kalidindi
• Elizabeth Kalwinski

• Counselor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.