Individual provider Active NPI

Brooke Projansky, MA, LCPC

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1053813253
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014108 Issued in IL
Practice address
1585 N Milwaukee Ave Ste 116
Libertyville, IL 60048-1359
Phone
(847) 242-2370
Fax
(847) 589-3369
NPI assigned
Mar 3, 2018
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 180.014108 IL Primary

Addresses

Primary practice location

1585 N Milwaukee Ave Ste 116
Libertyville, IL 60048-1359

Mailing address

1585 N Milwaukee Ave Ste 116
Libertyville, IL 60048-1359
Phone (847) 242-2370

Other practice location 1

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 308-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000802 IL Practitioner - Mental Health Counselor 3072960798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricia Saviano Expressive Therapies PLLCGroup PAC ID 2860848942, 4 clinicians

Practice addresses (Care Compare)

1585 N Milwaukee Ave
Suite 116
Libertyville, IL 60048-1359
Phone (847) 242-2370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.014108ILMDProfessional Counselor

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": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1053813253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 116",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-242-2370",
            "fax_number": "847-589-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 116",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-242-2370",
            "fax_number": "847-589-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-308-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROJANSKY",
        "first_name": "BROOKE",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.