Ryanne R Bright, LCPC, CADC
Individual provider Active NPI Professional Counselor · Lake Bluff, IL
NPI 1124213574 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1124213574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.006842 (IL)
- Practice address
- 900 N Shore Dr Ste 120
Lake Bluff, IL 60044-2225 - Phone
- (847) 615-1698
- Fax
- (847) 615-1697
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chicago Integrative Center for Psychology LLC
Practice addresses (Care Compare)
900 N Shore Dr
Suite 120
Lake Bluff, IL 60044-2225
Phone (847) 615-1698
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806002375 | IL | Practitioner - Mental Health Counselor | 1254723109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006842 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Integrative Center for Psychology LLC | Current |
Accepting new patients |
Locations
900 N Shore Dr
Ste 120
Lake Bluff, IL 60044
Phone (847) 615-1698
8707 Skokie Blvd
Ste 210
Skokie, IL 60077
Phone (847) 615-1698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006842 | IL | Yes |
Addresses
Primary practice location
900 N Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Mailing address
900 N Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Phone (847) 615-1698
Other providers in Lake Bluff, IL
- Stephen Andrew Blatt
- Blue Jays Home Care, LLC
- John Bjorn Boquist
- Katherine Born
- Michelle Bracamontes
- Mackenzie L Brindley
- David Peter Bronsveld
- Rachell Buhler
- Anita Bukszar
- Kathleen Marie Burke
All providers in Lake Bluff, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.