Brooken Hero Enterprises LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BROOKEN HERO ENTERPRISES LLC

Practice address

1704 W Taylor Dr
Carbondale, IL 62901-2115

Phone

(773) 575-3917

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Ryan James Reed Sr., PHDNPI 1649153479

Title

Owner

Phone

(773) 575-3917

Specialties & licenses 1

Addresses

Tax ID family

Broken Hero Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Broken Hero Enterprises LLC

  • Mental Health Counselor
  • Carbondale, IL
  • NPI 1801718333
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan James Reed, PHD

  • Professional Counselor
  • Carbondale, IL
  • NPI 1649153479

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1366364895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W TAYLOR DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012115",
            "telephone_number": "773-575-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W TAYLOR DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012115",
            "telephone_number": "773-575-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKEN HERO ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-575-3917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigham Anesthesia South LLC
• Jayda Brink
• Kezia Briones, PA-C
• Jacara Brisco, BS
• Broken Hero Enterprises LLC
• Alexis Brooks, MSW
• Alexandra Nicole Brown, MD
• Anita Brown, BCND
• Ashley L. Brown, NP
• Gary Michael Brown, D.D.S.

• Mental Health Counselor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.