Brandon Douglas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015127 Issued in IL

Practice address

15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825

Phone

(888) 428-7890

NPI assigned

Jan 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Brandon Douglas, LCPC, PLLC

  • Mental Health Counselor
  • Bourbonnais, IL
  • NPI 1538859079
  NPD Authorized official
• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  NPD
• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1740689660
  NPD (past)
• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1073050985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 S 94TH AVE STE 250",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623825",
            "telephone_number": "888-428-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 S 94TH AVE STE 250",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623825",
            "telephone_number": "888-428-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20635 Abbey Woods Ct N Ste 209",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604233188",
            "country_code": "US",
            "telephone_number": "815-640-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E Cleland Jr DDS PC
• Donald R Hoffman DPM PC
• Scott O Donnelly, DO
• Courtney Doornbos, M.ED, BCBA
• Mayank Y Doshi, MD
• Scorpia Doyle, FNP
• Dr Cheryl Scallon PC
• Dr George G Pappas & Associates LTD
• Dr James a Kline MD PC
• Dr Jerry Chow MD LTD

• Professional Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.