Provider Demographics
NPI:1124571245
Name:JONES, CHELSEY LEA
Entity type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:LEA
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:LEA
Other - Last Name:BANNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1 E ERIE ST STE 525-2216
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2740
Mailing Address - Country:US
Mailing Address - Phone:312-625-9051
Mailing Address - Fax:
Practice Address - Street 1:1 E ERIE ST STE 525-2216
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2740
Practice Address - Country:US
Practice Address - Phone:312-625-9051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
247000000X
IL178.019505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information