Proactive Academic Counseling of Illinois Inc

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PROACTIVE ACADEMIC COUNSELING OF ILLINOIS INC

Practice address

440 Quadrangle Dr Ste K
Bolingbrook, IL 60440-3455

Phone

(630) 765-1979

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

Joshua A Bracken, LCSWNPI 1639004674

Title

Ceo, Founder, President

Phone

(630) 765-1979

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua A Bracken

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1639004674
  NPD Authorized official

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1942145263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 QUADRANGLE DR STE K",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403455",
            "telephone_number": "630-765-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 QUADRANGLE DR STE K",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403455",
            "telephone_number": "630-765-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE ACADEMIC COUNSELING OF ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, FOUNDER, PRESIDENT",
        "authorized_official_telephone_number": "630-765-1979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodora Hadzisteliou Price, PHD AEEH MSW LCSW AC
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• Professional Dental Alliance of Grove Dental LLC
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• Professional Dental Alliance of Illinois Ortho PLLC
• Professional Psychiatry and Counseling
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• Student Health Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.