Individual provider Active NPI

Brian George Hides

  • Mental Health Counselor
  • Lake Bluff, IL
National Provider Identifier
1326734427
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.018988 Issued in IL
Practice address
28674 Braeloch CT
Lake Bluff, IL 60044-3004
Phone
(224) 244-1130
NPI assigned
Apr 12, 2023
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.018988 IL Primary

Addresses

Primary practice location

28674 Braeloch CT
Lake Bluff, IL 60044-3004

Mailing address

28674 Braeloch CT
Lake Bluff, IL 60044-3004
Phone (224) 244-1130

Other practice location 1

501 N Riverside Dr Ste 215
Gurnee, IL 60031-5918
Phone (224) 208-8484

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409001056 IL Practitioner - Mental Health Counselor 2466976634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Josselyn Center NFP CurrentSince Feb 6, 2025 Accepting new patients
Second Lane PLLC Mental Health CurrentSince Apr 16, 2023 Accepting new patients
The Josselyn Center NFP CurrentSince Feb 6, 2025 Accepting new patients
The McKnight Group LLC Professional Past Accepting new patients

Locations

1135 Skokie Blvd
Northbrook, IL 60062
Phone (224) 255-6956

415 Washington St
Waukegan, IL 60085
Phone (224) 241-3886

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1326734427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28674 BRAELOCH CT",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443004",
            "telephone_number": "224-244-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28674 BRAELOCH CT",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600443004",
            "telephone_number": "224-244-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Riverside Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315918",
            "country_code": "US",
            "telephone_number": "224-208-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDES",
        "first_name": "BRIAN",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.