Berrybrook Crisis Resolution LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BERRYBROOK CRISIS RESOLUTION LLC

Practice address

7819 W 159TH St
Tinley Park, IL 60477-1343

Phone

(708) 549-5616

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Julie A Dykstra, LCPC, CADC, SAP, MACNPI 1538730023

Title

Owner

Phone

(708) 549-5616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ann Dykstra, LCPC, CADC, SAP, MAC

  • Counselor
  • Tinley Park, IL
  • NPI 1538730023
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1679229348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 W 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771343",
            "telephone_number": "708-549-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 W 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771343",
            "telephone_number": "708-549-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYBROOK CRISIS RESOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-549-5616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, CADC, SAP, MAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Bennett
• Thomas Joseph Bentley, ATC
• Angela Berens, COTA/L
• Daniel Bermea, CRNA
• Dana Berns, DPM
• Dorlisa Bethany
• Kathleen M Bewley-Thomas, DO
• Beyer Chiropractic Clinic SC
• Denise Bielefeld, M.D.
• Christine Bierma, LPC

• All providers in Tinley Park, IL
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.