Active NPI
Brenda Marwede, LCPC
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1275986887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178010784
- Practice address
- 501 N Riverside Dr
Gurnee, IL 60031-5918 - Phone
- (847) 625-0606
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | |||
| Professional Counselor | 101YP2500X | 178010784 | IL | Primary |
Addresses
Primary practice location
501 N Riverside Dr
Gurnee, IL 60031-5918
Mailing address
501 N Riverside Dr Ste 207
Gurnee, IL 60031-5918
Phone (847) 508-3130
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 N Riverside Dr
Suite 206
Gurnee, IL 60031-5918
Phone (847) 231-2265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178010784 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Family Solutions LLC | Mental Health | Current | Accepting new patients |
Locations
501 N Riverside Dr
Ste 207
Gurnee, IL 60031
Phone (847) 508-3130
501 N Riverside Dr
Ste 206
Gurnee, IL 60031
Phone (847) 231-2265
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": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743811200000",
"number": "1275986887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N RIVERSIDE DR STE 207",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315918",
"telephone_number": "847-508-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N RIVERSIDE DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315918",
"telephone_number": "847-625-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARWEDE",
"first_name": "BRENDA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.