Individual provider Active NPI

Abbey Prujan, LCPC, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Evanston, IL
National Provider Identifier
1255463519
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21062 Issued in IL
Practice address
1840 Oak Ave
Suite 203-N
Evanston, IL 60201-3642
Phone
(847) 733-7822
Fax
(847) 491-0309
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21062 IL Primary
Mental Health Counselor 101YM0800X IL

Addresses

Primary practice location

1840 Oak Ave
Suite 203-N
Evanston, IL 60201-3642

Mailing address

1840 Oak Ave
Suite 203-N
Evanston, IL 60201-3642
Phone (847) 733-7822

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

LicenseStateTypeSpecialty
21062ILMDAddiction (Substance Use Disorder) Counselor
180002456ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Bradean, PLLC PastSince Jan 1, 2021 Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255463519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 OAK AVE",
            "address_2": "SUITE 203-N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013642",
            "telephone_number": "847-733-7822",
            "fax_number": "847-491-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 OAK AVE",
            "address_2": "SUITE 203-N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013642",
            "telephone_number": "847-733-7822",
            "fax_number": "847-491-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUJAN",
        "first_name": "ABBEY",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "21062",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.