BRANDON DOUGLAS
NPI 1073050985
Counselor - Professional in Orland Park, IL

Active since January 30, 2017
15303 S 94TH AVE STE 250, ORLAND PARK, IL 60462(888) 428-7890 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Jan 30, 2017 (2 updates tracked since 2017).

About Brandon Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON DOUGLAS (NPI 1073050985) is an individual professional provider in Orland Park, Illinois and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1073050985
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON DOUGLAS
Location Address15303 S 94TH AVE STE 250Orland Park, IL 60462-3825
Mailing Address15303 S 94th Ave Ste 250Orland Park, IL 60462-3825 · (888) 428-7890
Sole ProprietorNo
Enumeration DateJanuary 30, 2017
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1073050985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
15303 S 94TH AVE STE 250, Orland Park, IL 60462

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Psychologist (Clinical)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Social Worker (Clinical)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Counselor (Professional)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Social Worker
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Counselor (Professional)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Counselor (Professional)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462
Social Worker (Clinical)
15303 S 94TH AVE STE 250
ORLAND PARK, IL 60462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Douglas's NPI number?

The NPI number for Brandon Douglas is 1073050985. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Brandon Douglas located?

Brandon Douglas practices at 15303 S 94th Ave Ste 250, Orland Park, IL 60462. The listed phone number is (888) 428-7890.

What is Brandon Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brandon Douglas was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.