Organization Active NPI

Orange Tree Counseling and Consulting, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1508452434
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ORANGE TREE COUNSELING AND CONSULTING, LLC
Practice address
155 N Michigan Ave Ste 760a
Chicago, IL 60601-7711
Phone
(312) 725-4088
NPI assigned
Dec 15, 2020
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Brenda Reavis, LCSWNPI 1295397669
Title
Director
Phone
(312) 725-4088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 760a
Chicago, IL 60601-7711

Mailing address

155 N Michigan Ave Ste 760a
Chicago, IL 60601-7711
Phone (312) 725-4088

Other practice location 1

825 Chicago Ave Fl 2A
Evanston, IL 60202-2375
Phone (312) 725-4088

Other identifiers 4

IdentifierTypeStateIssuer
1295397669MedicaidIL
322769303001MedicaidIL
1508452434MedicaidIL
1477097962MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401000484 IL Part B Supplier - Clinic/Group Practice 0941723969 Receives reassigned benefits from 1 practitioner
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Locations

825 Chicago Ave
Fl 2A
Evanston, IL 60202
Phone (312) 725-4088

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1508452434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 760A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017711",
            "telephone_number": "312-725-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 760A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017711",
            "telephone_number": "312-725-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chicago Ave Fl 2A",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602022375",
            "country_code": "US",
            "telephone_number": "312-725-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORANGE TREE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-725-4088",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295397669",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322769303001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508452434",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477097962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.