Brooke Naomi Blankenship, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014180 Issued in IL

Practice address

5215 N Ravenswood Ave Ste 208
Chicago, IL 60640-1670

Phone

(219) 309-6203

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1235855115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 W AINSLIE ST APT RC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407369",
            "telephone_number": "219-309-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "219-309-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "BROOKE",
        "middle_name": "NAOMI",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balanced-awakening-71.squarespace.com/",
            "affiliation": "N",
            "address_1": "5215 N Ravenswood Ave Ste 208",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606401670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hilliard I Blank, DDS
• Jessica Blank, MD
• Kelsey Ann Blank
• Roneen Blank, M.D.
• Erica Lynn Blankemeyer, PA-C
• Elizabeth A Blankenship, DNP
• Lisa Blankenship, MD
• Marissa Anne Blankenship
• Terry Cornelius Blanks
• Jeffrey Blankshain, DDS

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.