Individual provider Active NPI

Rita Brosnan, LCPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1356612238
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008056 Issued in IL
Practice address
440 S Finley Rd
Lombard, IL 60148-2429
Phone
(630) 682-7400
Fax
(630) 690-5282
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.008056 IL Primary

Addresses

Primary practice location

440 S Finley Rd
Lombard, IL 60148-2429

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400

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
I20250213001309 IL Practitioner - Mental Health Counselor 1153715578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Home Sharing, Inc.Group PAC ID 7618361023, 3 clinicians

Practice addresses (Care Compare)

403 W Saint Charles Rd
Suite B
Lombard, IL 60148-2113
Phone (630) 519-4198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.008056ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Home Sharing, Inc. CurrentSince Aug 10, 2020 Accepting new patients
County of Dupage Department of Health Past Accepting new patients

Locations

403 W Saint Charles Rd
Ste B
Lombard, IL 60148
Phone (630) 407-0440

Organizations & group practices 2

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1356612238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977",
            "telephone_number": "630-682-7400",
            "fax_number": "630-690-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S FINLEY RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482429",
            "telephone_number": "630-682-7400",
            "fax_number": "630-690-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSNAN",
        "first_name": "RITA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.