Energy Geneyus Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ENERGY GENEYUS INC

Practice address

1701 E Lake Ave Ste 165
Glenview, IL 60025-2037

Phone

(224) 501-9708

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Brad Jeffrey Novak, LCPCNPI 1639666746

Title

Director

Phone

(847) 347-7678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Practitioners 1

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

• Brad Jefferey Novak, MA, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1639666746

  IN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1992288039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 LINDER CT",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772016",
            "telephone_number": "847-347-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 165",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252037",
            "telephone_number": "224-501-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY GENEYUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-347-7678",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Glenview, IL
• Providers in Glenview, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.