NPI 1780384289 · live from the CMS NPI Registry
Bristlecone Therapy, PLLC
Marriage & Family Therapist in Wheaton, IL. National Provider Identifier 1780384289, active.
NPI record
| NPI | 1780384289 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 315 S Naperville Rd, Wheaton, IL 60187 |
| Practice phone | 630-492-1388 |
| Enumerated | March 6, 2023 |
| Last updated | October 21, 2025 |
| Authorized official | Jake Johnson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.