Breanna Lynn Vanden Boogart, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015433 Issued in IL

Practice address

6713 Kingery Hwy
Willowbrook, IL 60527-5142

Phone

(773) 234-0423

NPI assigned

Mar 8, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calm Mind Counseling Center, PLLC

  • Mental Health Counselor
  • Forest Park, IL
  • NPI 1790333938
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1407503592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 BRYAN PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077472",
            "telephone_number": "708-822-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "773-234-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9659 Bryan Pl",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077472",
            "country_code": "US",
            "telephone_number": "708-822-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEN BOOGART",
        "first_name": "BREANNA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzoma A Ugwu, NP
• Alexandra Ulrich, LCPC
• Urgent Medical Care LLC
• Jennifer Vahl
• Madli Vahtra, DO
• Shauna Vandermey
• Alexandria Marie Vant, DPT
• Jensen Jacob Vayalil
• Mejo Vayalil
• VTM Insurance Financial Services

• Mental Health Counselor in Willowbrook, IL
• Providers in Willowbrook, 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 Mar 8, 2022; 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.