Organization Active NPI

Carolyn a Braverman LCPC

  • Mental Health Counselor
  • Buffalo Grove, IL
National Provider Identifier
1235310293
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180003558 Issued in IL
Legal business name
CAROLYN A BRAVERMAN LCPC
Practice address
1110 W Lake Cook Rd
160
Buffalo Grove, IL 60089-1944
Phone
(847) 520-0222
Fax
(847) 302-3922
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carolyn Ann Braverman, LCPC
Title
Owner
Phone
(847) 520-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180003558 IL Primary

Addresses

Primary practice location

1110 W Lake Cook Rd
160
Buffalo Grove, IL 60089-1944

Mailing address

1100 W Lake Cook Rd
160
Buffalo Grove, IL 60089-1929
Phone (847) 520-0222

Other identifiers 1

IdentifierTypeStateIssuer
1235310293OtherILBCBS OF IL.

Other names 1

  • Carolyn Braverman and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1110 W Lake Cook Rd
#160
Buffalo Grove, IL 60089
Phone (847) 520-0222

1100 W Lake Cook Rd
#160
Buffalo Grove, IL 60089

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1235310293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD",
            "address_2": "160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891929",
            "telephone_number": "847-520-0222",
            "fax_number": "847-302-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD",
            "address_2": "160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891944",
            "telephone_number": "847-520-0222",
            "fax_number": "847-302-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN A BRAVERMAN LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-520-0222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180003558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL.",
            "identifier": "1235310293",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolyn Braverman and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.