Ryan Kelsey Brandt, LPC, ATR-P

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.017836 Issued in IL

Practice address

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471

Phone

(847) 759-9110

Fax

(847) 759-9440

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Juniper Center PC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1902906324
  NPD

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1366119174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 W BELDEN AVE UNIT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472464",
            "telephone_number": "281-541-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DR STE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "847-759-9110",
            "fax_number": "847-759-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "RYAN",
        "middle_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "LPC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.017836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "178.017836",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPY CREDENTIALS BOARD INC.",
            "identifier": "23-013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ionut L Bradescu
• Gregory John Bradshaw, P.T.
• William J Brander, M.D.
• Andrew Kalsem Brandser, MD
• Mark T Brandt, MD
• Sydney Raphael Brandwein, M.D.
• Daniel Peter Brandys, LPC
• Marylee Braniecki, M.D.
• Cheryl S. Braun, M.D.
• Ryan Michael Braun, M.D.

• Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.