Amy Brink

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446

Phone

(630) 984-0152

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1912638800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W MADISON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874120",
            "telephone_number": "630-414-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 112",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234446",
            "telephone_number": "630-984-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874120",
            "country_code": "US",
            "telephone_number": "630-414-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Jorie Blvd # 1010",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605232215",
            "country_code": "US",
            "telephone_number": "630-984-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan M Bradberry, DPT
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• Jennifer Broers, LCSW
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• Harley C Brooks III, M.D.
• Blair Meredith Brown, PSY.D.
• Latasha Brown

• Mental Health Counselor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.