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

Active since May 17, 2024
9730 S WESTERN AVE, EVERGREEN PARK, IL 60805(708) 696-4874 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supportive Interventions Llc NPPES

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

SUPPORTIVE INTERVENTIONS LLC (NPI 1104675404) is a healthcare organization registered as a professional in Evergreen Park, Illinois and active in the NPI registry since May 2024. The organization lists Brinyel Perkins, Licensed Clinical Professional Coun, as its authorized official.

NPPES Registry Identity

NPI1104675404
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSUPPORTIVE INTERVENTIONS LLC
Location Address9730 S WESTERN AVEEvergreen Park, IL 60805-2814
Mailing Address21720 W Long Grove Rd Ste CDeer Park, IL 60010-3752
Phone(708) 696-4874
Organization SubpartNo
Authorized OfficialBrinyel PerkinsLicensed Clinical Professional Coun · (708) 696-4874
Enumeration DateMay 17, 2024
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1104675404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
9730 S WESTERN AVE, Evergreen Park, IL 60805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

WOMEN'S HEALTHCARE OF ILLINOIS, LTD
Obstetrics & Gynecology
9730 S WESTERN AVE, SUITE 100
EVERGREEN PARK, IL 60805
Cook County (708) 425-1907
N'COURAGE COUNSELING AND CONSULTATION SERVICES, PLLC
Counselor (Professional)
9730 S WESTERN AVE
EVERGREEN PK, IL 60805
Cook County (708) 305-4646
DR. ANITA IYER M.D.
Obstetrics & Gynecology
9730 S WESTERN AVE, STE 100
EVERGREEN PARK, IL 60805
Cook County (708) 425-1907
MISS JASMYNE NIKIA WILLIAMS LCPC
Counselor (Professional)
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805
Cook County (708) 684-1560
MS. KIM NIEZGODA WHNP
Nurse Practitioner (Women's Health)
9730 S WESTERN AVE, STE 100
EVERGREEN PARK, IL 60805
Cook County (708) 425-1907
SAMANTHA LOUISE ALLEN MSW, LCSW
Social Worker (Clinical)
9730 S WESTERN AVE
EVERGREEN PARK, IL 60805
Cook County (773) 242-9726
MR. BRUCE PAUL ROBINSON LCSW
Social Worker (Clinical)
9730 S WESTERN AVE, SUITE 729
EVERGREEN PARK, IL 60805
Cook County (708) 499-3525
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9730 S WESTERN AVE, CKD SERVICES OF EVERGREEN PARK
EVERGREEN PARK, IL 60805
Cook County (708) 423-8833

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 Supportive Interventions LLC's NPI number?

The NPI number for Supportive Interventions LLC is 1104675404. It was assigned to this organization in the NPPES registry on May 17, 2024.

Where is Supportive Interventions LLC located?

Supportive Interventions LLC is located at 9730 S Western Ave, Evergreen Park, IL 60805. The listed phone number is (708) 696-4874.

What is Supportive Interventions LLC'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 Supportive Interventions LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.