Brooke Elizabeth Allen
Individual provider Active NPI Mental Health Counselor · Chicago, IL
NPI 1154050896 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1154050896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 178.018004 (IL)
- Practice address
- 4805 N Fairfield Ave Apt 33
Chicago, IL 60625-2818 - Phone
- (773) 805-4409
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.018004 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.018004 | IL | Yes |
Addresses
Primary practice location
4805 N Fairfield Ave Apt 33
Chicago, IL 60625-2818
Mailing address
4805 N Fairfield Ave Apt 33
Chicago, IL 60625-2818
Phone (773) 805-4409
Other providers in Chicago, IL
- Beatrice Allen
- Belinda Allen
- Bradley David Allen
- Brenda Allen
- Brittany Aliean Allen
- Charles T Allen
- Cicely Allen
- Claire Allen
- Corey Taylor Allen
- Deborah Regina Allen
All providers in Chicago, IL · Mental Health 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 Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.