Melissa Brennan, ED.S, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006276 Issued in IL

Practice address

1248 American Way
Suite B
Libertyville, IL 60048-3936

Phone

(847) 302-6488

NPI assigned

Feb 4, 2007

Sex

Female

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1093853533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAYVIEW RD",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211501",
            "telephone_number": "847-302-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AMERICAN WAY",
            "address_2": "SUITE B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483936",
            "telephone_number": "847-302-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "ED.S, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karleen Brauns
• Devida Michelle Braverman, M.A., CCC-SLP
• Dina Bravy, M.A.
• Michael Joseph Breen, MD, PHD
• Robert Aaron Breit, M.D.
• Patricia Bress, SLP
• Brian P Danielewicz DDS LTD
• Anastasia Brierton, DO
• Brightlife Regenerative Medical Clinic SC
• John Phillippe Broadnax, M.D.

• Professional Counselor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.