Individual provider Active NPI

Jennifer Lee Bonino Sobol, PH.D., LCPC

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1972058295
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011558 Issued in IL
Practice address
1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
Phone
(312) 583-7171
NPI assigned
Aug 16, 2016
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 39004877A IN
Professional Counselor 101YP2500X 180.011558 IL Primary
Professional Counselor 101YP2500X LPC-MH30730 SD

Addresses

Primary practice location

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164

Mailing address

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
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

Organizations & group practices 1

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.

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": "1790553600000",
    "number": "1972058295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "telephone_number": "312-583-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "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": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "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
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH30730",
            "primary": false
        }
    ],
    "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 Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.