Individual provider Active NPI

Brett Ryan Zelencik, LCPC, LPC, LMHC

  • Counselor
  • Chicago, IL
National Provider Identifier
1235685983
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180012749 Issued in IL
Practice address
6033 N Sheridan Rd Ste S5
Chicago, IL 60660-3013
Phone
(708) 648-2738
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180012749 IL Primary
Professional Counselor 101YP2500X TPMC2322 FL
Professional Counselor 101YP2500X 39003854A IN
Professional Counselor 101YP2500X 180012749 IL
Professional Counselor 101YP2500X 6852-25 WI

Addresses

Primary practice location

6033 N Sheridan Rd Ste S5
Chicago, IL 60660-3013

Mailing address

6033 N Sheridan Rd Ste S5
Chicago, IL 60660-3013
Phone (708) 648-2738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001721 IL Practitioner - Mental Health Counselor 0042653800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

1440 W Taylor St
Chicago, IL 60607-4623
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180012749ILMDCounselor
TPMC2322FLMDProfessional Counselor
39003854AINMDProfessional Counselor
6852-25WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.a. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 367-8494

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1235685983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD STE S5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603013",
            "telephone_number": "708-648-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD STE S5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603013",
            "telephone_number": "708-648-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENCIK",
        "first_name": "BRETT",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LCPC, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180012749",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC2322",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39003854A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012749",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6852-25",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.