Brenda Marie Reavis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021279 Issued in IL

Practice address

825 Chicago Ave FL 2a
Evanston, IL 60202-2375

Phone

(312) 725-4088

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orange Tree Counseling and Consulting, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1508452434

  Mental Health

  Medicare reassignment NPD Authorized official
• Orange Tree Counseling and Consulting, Inc

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1114819497
  NPD Authorized official

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1295397669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 760A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017711",
            "telephone_number": "312-725-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHICAGO AVE FL 2A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022375",
            "telephone_number": "312-725-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Michigan Ave Ste 760A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017711",
            "country_code": "US",
            "telephone_number": "312-725-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.021279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295397669",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Razdik, M.D.
• Rci (WRS), LLC.
• Betty L Read-Wolff, ATR
• Lesley Renee Reagan, ATR, LCPC
• Kathleen Wade Reardon, PHD
• Rebecca Kieffer, LCSW LLC
• Laura Anne Reckamp, APRN CNP, AGPCNP-BC
• Christina Lynn Reddington, NP
• Mamatha R. Reddy, MD
• Mythri Megan Reddy, M.D.

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.

Verify at the official NPI Registry.