Adele M Bryant, L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000741 Issued in IL

Practice address

17127 Oak Park Ave
Tinley Park, IL 60477-3405

Phone

(815) 530-4589

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Office of Adele M. Bryant, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tinley Park, IL
  • NPI 1619100831
  NPD (past) Authorized official

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1720222581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N REED ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355968",
            "telephone_number": "815-726-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17127 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773405",
            "telephone_number": "815-530-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ADELE",
        "middle_name": "M",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Brown
• Catrina A Brucato, PA-C
• Wendy Brunette, PTA
• Jordan Clark Bruni
• Bryan a. Lipson, LTD, PC
• Kamryn Bucci, RBT
• Alexus Buchanan, LPN
• Marisol Bucio, MA, NCC, LPC
• Tekekee Desha Buckner, FNP
• Jacqueline Budwitis

• Professional Counselor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.