Individual provider Active NPI

Andrea K. Brown, M.A.,LCPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1881916955
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.001460 Issued in IL
Practice address
651 West Lake Street
Catholic Charities
Chicago, IL 60661
Phone
(312) 655-7449
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.001460 IL Primary

Addresses

Primary practice location

651 West Lake Street
Catholic Charities
Chicago, IL 60661

Mailing address

651 West Lake Street
Catholic Charities
Chicago, IL 60661
Phone (312) 655-7449

Other names 1

  • Andrea K. Brown Professional name

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
I20240605002980 IL Practitioner - Mental Health Counselor 3678015666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.001460ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Chicago Counselor CurrentSince Apr 24, 2024 Accepting new patients

Locations

2310 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 566-4528

721 N La Salle Dr
Chicago, IL 60654
Phone (312) 655-7167

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1881916955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WEST LAKE STREET",
            "address_2": "CATHOLIC CHARITIES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "312-655-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WEST LAKE STREET",
            "address_2": "CATHOLIC CHARITIES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "312-655-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREA",
        "middle_name": "K.",
        "credential": "M.A.,LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.001460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BROWN",
            "middle_name": "K.",
            "credential": "M.A.,LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.