Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jonathan Cavanaugh

Individual provider Professional Counselor · NPI 1629374202

Jonathan Cavanaugh is a Mental Health Counselor in Blue Island, Illinois. Qualified in 2010, 16 years ago. Practices with Cmc Healthcare LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2011
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Practice location Address checks out

12145 Western Ave
Blue Island, IL 60406-1387 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 432-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.008799 (IL)

Record details

NPI number1629374202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESDecember 23, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Cmc Healthcare Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 190 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Cmc Healthcare LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 130 clinicians in the practice; 12 are shown here.

Other providers in Blue Island