Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

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

Practice location Address checks out

12145 Western Ave
Blue Island, IL 60406-1387
Phone: (773) 432-6236
Show map & directions

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
Mailing address12145 Western Ave, Blue Island, IL 60406-1387

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

Other providers in Blue Island