Individual provider Active NPI

Brett Alan Deppert, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1013741610
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.018886 Issued in IL
Practice address
700 N Green St # 106
Chicago, IL 60642-5996
Phone
(312) 620-8836
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.018886 IL Primary

Addresses

Primary practice location

700 N Green St # 106
Chicago, IL 60642-5996

Mailing address

1658 N Milwaukee Ave Ste B8360
Chicago, IL 60647-6905
Phone (773) 263-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.018886ILMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1013741610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE STE B8360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "773-263-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N GREEN ST # 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425996",
            "telephone_number": "312-620-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPERT",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.