Active NPI
Briani Zynette Shorter, LSW
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1659148484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150.107202
- Practice address
- 2302 W North Ave Ste 1E
Chicago, IL 60647-9755 - Phone
- (312) 623-3260
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 150.107202 | IL | |
| Mental Health Counselor | 101YM0800X | 150.107202 | IL | Primary |
Addresses
Primary practice location
2302 W North Ave Ste 1E
Chicago, IL 60647-9755
Mailing address
2302 W North Ave Ste 1E
Chicago, IL 60647-9755
Phone (312) 623-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.107202 | IL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1659148484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 W NORTH AVE STE 1E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606479755",
"telephone_number": "312-623-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 W NORTH AVE STE 1E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606479755",
"telephone_number": "312-623-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTER",
"first_name": "BRIANI",
"middle_name": "ZYNETTE",
"name_prefix": "Miss",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "IL",
"license": "150.107202",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.107202",
"primary": true
}
],
"identifiers": [],
"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 Dec 12, 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.