Organization Active NPI

John D Jochem, Psy.D., P.C.

Doing business as Hawthorn Counseling Group

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1932116035
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004067 Issued in IL
Legal business name
JOHN D JOCHEM, PSY.D., P.C.
Doing business as
Hawthorn Counseling Group
Practice address
1580 S Milwaukee Ave
Ste 305
Libertyville, IL 60048-3773
Phone
(847) 680-0755
Fax
(847) 573-1617
NPI assigned
Aug 2, 2006
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. John David Jochem, PSY.D.NPI 1376575027
Title
Psychologist/Sole Officer
Phone
(847) 680-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071004067 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave
Ste 305
Libertyville, IL 60048-3773

Mailing address

1580 S Milwaukee Ave
Ste 305
Libertyville, IL 60048-3773
Phone (847) 680-0755

Other names 1

  • Hawthorn Counseling Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060815000381 IL Part B Supplier - Clinic/Group Practice 3173526092 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 305
Libertyville, IL 60048
Phone (847) 680-0755

977 Lakeview Pkwy
Ste 102
Vernon Hills, IL 60061
Phone (847) 549-1023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1932116035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "STE 305",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483773",
            "telephone_number": "847-680-0755",
            "fax_number": "847-573-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "STE 305",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483773",
            "telephone_number": "847-680-0755",
            "fax_number": "847-573-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D JOCHEM, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JOCHEM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE OFFICER",
        "authorized_official_telephone_number": "847-680-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.