Individual provider Active NPI

Brandon Russell Silverman, LCPC, NCC, MA

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1073106977
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013418 Issued in IL
Practice address
4049 N Austin Ave
Chicago, IL 60634-1605
Phone
(312) 286-5056
NPI assigned
Feb 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 180013418 IL Primary

Addresses

Primary practice location

4049 N Austin Ave
Chicago, IL 60634-1605

Mailing address

4049 N Austin Ave
Chicago, IL 60634-1605
Phone (312) 286-5056

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsilverman@silvercounselingservices.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180013418ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1073106977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341605",
            "telephone_number": "312-286-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341605",
            "telephone_number": "312-286-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "BRANDON",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "LCPC, NCC, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsilverman@silvercounselingservices.com",
            "affiliation": "N",
            "address_1": "4049 N Austin Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606341605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 27, 2023; 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.