Individual provider Active NPI

Eric Martin Brown, LCPC

  • Mental Health Counselor
  • Hinsdale, IL
National Provider Identifier
1689011041
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008618 Issued in IL
Practice address
120 E Ogden Ave
Suite 106
Hinsdale, IL 60521-3542
Phone
(630) 560-6015
Fax
(630) 757-4140
NPI assigned
May 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180008618 IL Primary

Addresses

Primary practice location

120 E Ogden Ave
Suite 106
Hinsdale, IL 60521-3542

Mailing address

16736 S Parker Ridge Dr
Lockport, IL 60441-4668
Phone (815) 791-0133

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
I20240610000169 IL Practitioner - Mental Health Counselor 1951843689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Medical Group Associates LLCGroup PAC ID 2365662517, 14 clinicians

Practice addresses (Care Compare)

2081 Calistoga Dr
Suite 2S
New Lenox, IL 60451-4833
Phone (815) 418-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180008618ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Medical Group Associates LLC CurrentSince Apr 29, 2024 Accepting new patients
Sarah Kelder, Inc. Past Accepting new patients
Pandian Medical Corporation LTD Mental Health PastSince Jul 15, 2013 Accepting new patients

Locations

2081 Calistoga Dr
Ste 2S
New Lenox, IL 60451
Phone (815) 418-6070

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1689011041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16736 S PARKER RIDGE DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414668",
            "telephone_number": "815-791-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "address_2": "SUITE 106",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542",
            "telephone_number": "630-560-6015",
            "fax_number": "630-757-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERIC",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-25",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.