Brookhaven Counseling Group, LLC
Clinic/Center (Adult Mental Health)

Address: 2209 W Winona St Unit 2, Chicago, IL 60625-1831
Phone: 8476520902

Brookhaven Counseling Group, LLC (NPI# 1972199099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1972199099
Entity Type Organization
Organization Name BROOKHAVEN COUNSELING GROUP, LLC
Practice Address 2209 W Winona St Unit 2
Chicago
IL 60625-1831
Practice Telephone 8476520902
Mailing Address 2209 W Winona St Unit 2
Chicago
IL 60625-1831
Mailing Telephone 8476520902
Authorized Official Name Meredyth Brook (CEO AND LEAD THERAPIST)
Authorized Official Telephone 4765200902
Authorized Official Credential LCPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-13
Last Update Date 2020-12-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Brookhaven Counseling Group Other Name - Individual/Organization
N/A Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 2209 W WINONA ST UNIT 2
City CHICAGO
State IL
Zip Code 60625-1831

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726615 B Wise Rehabilitation Pllc Physical Therapist 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 2020-10-07
1700490448 Anita Saini Pharmacist 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 2020-09-01
1699303164 Marina Karamanis Student in an Organized Health Care Education/Training Program Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 2020-03-31
1063050227 Jacqueline Guadalupe Saldana Behavior Analyst 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 2019-12-18
1912557802 Six Senses Therapy LLC Social Worker 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 2019-09-13
1982266110 Noreen Randhawa Family Medicine Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 2019-07-09
1376102202 Nita Gupta Student in an Organized Health Care Education/Training Program Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 2019-06-13
1841763471 Alexandra Taskier Counselor 5359 N Bowmanville Ave., Chicago, IL 60625 2019-01-07
1013490143 Paula Bielnicka Pharmacist Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 2018-09-14
1902397078 Rebecca Abraham Hospitalist 5145 N California Ave Ofc M331, Chicago, IL 60625 2018-05-24
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Competitor

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City CHICAGO
Zip Code 60625

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.