SUPPORTIVE INTERVENTIONS LLC
NPI 1104675404
Counselor - Professional in Evergreen Park, IL

NPI Status: Active since May 17, 2024

Contact Information

9730 S WESTERN AVE
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 696-4874

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  • Organization
  • Counselor
  • Professional

About SUPPORTIVE INTERVENTIONS LLC

This page provides the complete NPI Profile along with additional information for Supportive Interventions Llc, a provider established in Evergreen Park, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104675404 assigned on May 2024. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brinyel Perkins Ma, Lcpc (Licensed Clinical Professional Coun)

NPI
1104675404
Provider Name
SUPPORTIVE INTERVENTIONS LLC
Entity Type
Organization
Location Address
9730 S WESTERN AVE EVERGREEN PARK, IL 60805
Location Phone
(708) 696-4874
Mailing Address
21720 W LONG GROVE RD STE C DEER PARK, IL 60010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2024
Last Update Date
10-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRINYEL PERKINS MA, LCPC

Authorized Official Title
LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official Phone
(708) 696-4874

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104675404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 2 + 7 + 1 + 0 + 4 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104675404.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
9730 S WESTERN AVE, STE 100
EVERGREEN PARK, IL 60805
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805
Obstetrics & Gynecology (Maternal & Fetal Medicine)
9730 S WESTERN AVE, STE 100
EVERGREEN PARK, IL 60805
Obstetrics & Gynecology
9730 S WESTERN AVE, SUITE 100
EVERGREEN PARK, IL 60805
Pediatrics
9730 S WESTERN AVE, SUITE 500
EVERGREEN PARK, IL 60805
Pediatrics
9730 S WESTERN AVE, SUITE 500
EVERGREEN PARK, IL 60805
Internal Medicine
9730 S WESTERN AVE, SUITE 500
EVERGREEN PARK, IL 60805
Social Worker (Clinical)
9730 S WESTERN AVE, SUITE 741
EVERGREEN PARK, IL 60805
Social Worker (Clinical)
9730 S WESTERN AVE, SUITE 729
EVERGREEN PARK, IL 60805
Nurse Practitioner (Women's Health)
9730 S WESTERN AVE, STE 100
EVERGREEN PARK, IL 60805
Psychologist (Clinical)
9730 S WESTERN AVE, SUITE 627
EVERGREEN PARK, IL 60805
Clinic/Center
9730 S WESTERN AVE, SUITE150
EVERGREEN PK, IL 60805
Home Health
9730 S WESTERN AVE, 712
EVERGREEN PARK, IL 60805
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9730 S WESTERN AVE, CKD SERVICES OF EVERGREEN PARK
EVERGREEN PARK, IL 60805
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805
Clinical Medical Laboratory
9730 S WESTERN AVE, SUITE 706
EVERGREEN PARK, IL 60805
Psychiatry & Neurology (Psychiatry)
9730 S WESTERN AVE, SUIT 729
EVERGREEN PARK, IL 60805
Social Worker (Clinical)
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805
Internal Medicine
9730 S WESTERN AVE, SUITE 500
EVERGREEN PARK, IL 60805
Internal Medicine (Nephrology)
9730 S WESTERN AVE, SUITE 326
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104675404, enumerated as an "organization" on May 17, 2024.

The provider is located at 9730 S WESTERN AVE EVERGREEN PARK, IL 60805 and the phone number is (708) 696-4874.

Counselor with taxonomy code 101YP2500X and a focus in Professional.