Individual provider Active NPI

George Brassea III, LCPC

  • Professional Counselor
  • Chicago Heights, IL
National Provider Identifier
1528420213
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
222 Vollmer Rd Ste Aa
Chicago Heights, IL 60411-1886
Phone
(708) 248-7039
NPI assigned
Mar 22, 2016
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.011327 IL
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

222 Vollmer Rd Ste Aa
Chicago Heights, IL 60411-1886

Mailing address

210 N Arquilla Dr
Chicago Heights, IL 60411-1702
Phone (708) 769-5015

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
I20241031001863 IL Practitioner - Mental Health Counselor 0547791634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

210 N Arquilla Dr
Chicago Heights, IL 60411-1702
Phone (708) 769-5015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.011327ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Heights Treatment LLC Professional CurrentSince Jan 21, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince Jul 21, 2024 Accepting new patients

Locations

222 Vollmer Rd
Ste Aa
Chicago Hts, IL 60411
Phone (708) 248-7035

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1528420213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N ARQUILLA DR",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111702",
            "telephone_number": "708-769-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VOLLMER RD STE AA",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111886",
            "telephone_number": "708-248-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSEA",
        "first_name": "GEORGE",
        "name_suffix": "III",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011327",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.