Brian Joseph Fagan, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013731 Issued in IL

Practice address

820 Davis St Ste 222
Evanston, IL 60201-4445

Phone

(779) 368-0060

NPI assigned

Sep 30, 2019

Last updated

Nov 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care Therapy Services of Illinois PCGroup PAC ID 2163944190, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.fagan.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care Therapy Services of Illinois PC

  dba KP Counseling of Illinois

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1235949553
  Medicare reassignment Care Compare group NPD
• Fagan Psychotherapy PLLC

  • Community/Behavioral Health Agency
  • Evanston, IL
  • NPI 1104511104
  NPD Authorized official
• KP Counseling LTD

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1770630766
  NPD
• Optum Behavioral Care Therapy Services of Illinois PC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1780579797
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1669013843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 222",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 222",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014445",
            "telephone_number": "779-368-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606545106",
            "country_code": "US",
            "telephone_number": "312-943-6545 x232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013731",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mei-Ling Ewbank, MD
• Ews Internal Medicine, LLC
• Eye Solutions, PC
• Catherine Anne Fabian, AU.D.
• Fagan Psychotherapy PLLC
• Daniel Patrick Fagin, M.D.
• Mohammed Shahrukh Fahad, MD
• Joan Faier-Routman, PH.D.
• Kenneth M Fairman, D.C.
• Nader E Fakhoury, OD

• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.