Active NPI
Brian L Lee, MHS, CADC
- Addiction (Substance Use Disorder) Counselor
- Oak Lawn, IL
National Provider Identifier
1700360070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24152
- Practice address
- 8938 S Ridgeland Avenue Suite 100
Oak Lawn, IL 60453 - Phone
- (708) 599-1067
- Fax
- (708) 599-1095
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24152 | IL | Primary |
Addresses
Primary practice location
8938 S Ridgeland Avenue Suite 100
Oak Lawn, IL 60453
Mailing address
8938 S Ridgeland Avenue Suite 100
Oak Lawn, IL 60453
Phone (708) 599-1067
Other names 1
- Mr. Brian L Lee
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 |
|---|---|---|---|
| 24152 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Outpatient Alcoholism Treatment | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba D/BA Project C.O.A.T.
- Substance Use Disorder Rehabilitation Clinic/Center
- Oak Lawn, IL
- NPI 1174670293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1700360070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8938 S RIDGELAND AVENUE SUITE 100",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-599-1067",
"fax_number": "708-599-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8938 S RIDGELAND AVENUE SUITE 100",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-599-1067",
"fax_number": "708-599-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRIAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MHS, CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "24152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIAN",
"last_name": "LEE",
"middle_name": "L",
"prefix": "MR.",
"credential": "MHS, CADC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.