Individual provider Active NPI

Bradley S Sears, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1023121449
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-006364 Issued in NU
Practice address
1200 W Sherwin Ave Apt 2N
Chicago, IL 60626
Phone
(847) 250-2326
NPI assigned
Aug 17, 2006
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-006364 NU Primary

Addresses

Primary practice location

1200 W Sherwin Ave Apt 2N
Chicago, IL 60626

Mailing address

1200 W Sherwin Ave Apt 2N
Chicago, IL 60626-2206
Phone (847) 250-2326

Other practice location 1

75 E Queenwood Rd
Morton, IL 61550-2985
Phone (309) 263-5565

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psychoanalytic Institute Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1023121449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W SHERWIN AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262206",
            "telephone_number": "847-250-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W SHERWIN AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "847-250-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Queenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615502985",
            "country_code": "US",
            "telephone_number": "309-263-5565",
            "fax_number": "309-263-9336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARS",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "180-006364",
            "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, 2018; 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.