Active NPI
Brittany E Polacek, MSE, LPC, NCC
- Professional Counselor
- Vernon Hills, IL
National Provider Identifier
1154976223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4378-226
- Practice address
- 977 Lakeview Pkwy Ste 100
Vernon Hills, IL 60061-1444 - Phone
- (224) 202-7528
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.017169 | IL | |
| Professional Counselor | 101YP2500X | 4378-226 | WI | Primary |
Addresses
Primary practice location
977 Lakeview Pkwy Ste 100
Vernon Hills, IL 60061-1444
Mailing address
977 Lakeview Pkwy Ste 100
Vernon Hills, IL 60061-1444
Phone (224) 202-7528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.017169 | IL | MD | Mental Health Counselor |
| 4378-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Psychotherapy Services LLC | Past | Accepting new patients | |
| The Caring Tree LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Stevens Point, WI
- NPI 1457619389
-
- Community/Behavioral Health Agency
- Wausau, WI
- NPI 1578098208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1154976223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PKWY STE 100",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611444",
"telephone_number": "224-202-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PKWY STE 100",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611444",
"telephone_number": "224-202-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLACEK",
"first_name": "BRITTANY",
"middle_name": "E",
"credential": "MSE, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.017169",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4378-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.