Brookhaven Counseling Group, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BROOKHAVEN COUNSELING GROUP, LLC

Practice address

2209 W Winona St Unit 2
Chicago, IL 60625-1831

Phone

(847) 652-0902

NPI assigned

Dec 13, 2020

Organization subpart

No

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

Authorized official

Name

Meredyth Brook, LCPCNPI 1063035442

Title

Ceo and Lead Therapist

Phone

(476) 520-0902

Specialties & licenses 2

Addresses

Other names 2

• Brookhaven Counseling Group Other name
• N/A Other name

Practitioners 1

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

• Meredyth K Brook, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1063035442
  NPD Authorized official

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1972199099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 W WINONA ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251831",
            "telephone_number": "847-652-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 W WINONA ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251831",
            "telephone_number": "847-652-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "MEREDYTH",
        "authorized_official_title_or_position": "CEO AND LEAD THERAPIST",
        "authorized_official_telephone_number": "476-520-0902",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Counseling Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brookdale Senior Living Inc
• Brooke Petersen Counseling PLLC
• Heidi Sharon Brookenthal, D.O.
• Jay M Brooker, MD
• Sarah M Brooker, MD, PHD
• Krystal Brookins, LPC
• Savannah Eve Brookman
• Brooks W. Wilkinson, M.D., LTD
• Al-Fuquan Brooks, LMFT
• Alanna Brooks

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.