Individual provider Active NPI

Jennifer Lee Bonino Sobol, PH.D., LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1972058295
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011558 Issued in IL
Practice address
17 N Dearborn St FL 15
Chicago, IL 60602-4310
Phone
(312) 583-7171
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-MH30730 SD
Professional Counselor 101YP2500X 39004877A IN
Professional Counselor 101YP2500X 180.011558 IL Primary

Addresses

Primary practice location

17 N Dearborn St FL 15
Chicago, IL 60602-4310

Mailing address

1120 Wickham CT
Naperville, IL 60540-8319
Phone (312) 583-7171

Other names 1

  • Dr. Jennifer Lee Bonino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180.011558ILMDProfessional Counselor
39004877AINMDProfessional Counselor
LPC-MH30730SDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1972058295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WICKHAM CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408319",
            "telephone_number": "312-583-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST FL 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-583-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINO SOBOL",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH30730",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39004877A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BONINO",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PH.D., LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.