Provider Demographics
NPI:1912875840
Name:HIGHGROUND PERFORMANCE, PLLC
Entity type:Organization
Organization Name:HIGHGROUND PERFORMANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-841-4459
Mailing Address - Street 1:111 N WABASH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1903
Mailing Address - Country:US
Mailing Address - Phone:618-841-4459
Mailing Address - Fax:618-841-4459
Practice Address - Street 1:450 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:ELDORADO
Practice Address - State:IL
Practice Address - Zip Code:62930-3714
Practice Address - Country:US
Practice Address - Phone:618-841-4459
Practice Address - Fax:872-345-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty