Breathe

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008522 Issued in IL

Legal business name

BREATHE

Practice address

15255 S 94TH Ave
Orland Park, IL 60462-3800

Phone

(847) 461-8718

Fax

(847) 485-5605

NPI assigned

Sep 18, 2014

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Winifred Bradshaw, CRC/LCPC

Title

Director

Phone

(847) 461-8718

Specialties & licenses 10

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Winifred Williams Bradshaw, MS, CRC, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1639504079
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1285036491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W 102ND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281916",
            "telephone_number": "847-461-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623800",
            "telephone_number": "847-461-8718",
            "fax_number": "847-485-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-461-8718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRC/LCPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180008522",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008522",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008522",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "180008522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Branovacki, MD
• Joel G. Brasch, MD
• Nancy Brasic, FNP-BC
• James B Bray, MD
• Laura Brazdzionyte, DPT
• Bright Futures Psychological Services
• Lisette Brill, PT
• Raquel Tadalan Brillante, CNP
• Kimberly Brines, PTA
• Maureen Ann Brinkman, LCSW

• Professional Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.