IndividualActive
Jacob Waggoner
NPI 1619790003 · Professional Counselor · Chicago, IL
Jacob Waggoner is a Professional Counselor provider in Chicago, IL (NPI 1619790003).
Provider details
- NPI number
- 1619790003
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2043 W Belmont Ave Ste 1
Chicago, IL 60618-6796
Phone: (312) 324-4502
Street-level locationGet directions
Mailing address
1344 W Lunt Ave Apt 303
Chicago, IL 60626-3072
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Jacob Waggoner's NPI number?
- Jacob Waggoner's National Provider Identifier (NPI) is 1619790003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Waggoner's specialty?
- Jacob Waggoner is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Waggoner located?
- Jacob Waggoner's practice location on file with NPPES is 2043 W Belmont Ave Ste 1, Chicago, IL 60618-6796.
- What is Jacob Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Waggoner is (312) 324-4502.
- Is Jacob Waggoner's NPI active?
- Yes — Jacob Waggoner's NPI (1619790003) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.