Scott Patrick Brady, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180009100 Issued in IL

Practice address

9311 S Millard Ave
Evergreen Park, IL 60805-1812

Phone

(708) 439-6863

NPI assigned

Aug 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1063938488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 S MILLARD AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051812",
            "telephone_number": "708-439-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 S MILLARD AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051812",
            "telephone_number": "708-439-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerenda Bond, PT, DPT
• Jeanne Bonk, D.C.
• Angela Boomsma, APRN
• Keri Anne Brach, APRN
• Julie E Bracken, RN, MS
• John A Brendich, D.D.S.
• Emma Pearl Brennan, OTR
• Jennifer T Brennan, DPT
• Danielle Peyton Brewer
• Madison Brewster, DMD

• Mental Health Counselor in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.