BRANDON CLINTON
NPI 1194612564
Counselor - Professional in Woodridge, IL

Active since June 19, 2025PECOS Enrolled
7425 JANES AVE STE 205, WOODRIDGE, IL 60517(217) 850-1133(617) 807-0958 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Clinton NPPES

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

BRANDON CLINTON (NPI 1194612564) is an individual professional provider in Woodridge, Illinois, licensed in Illinois (180016035) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194612564
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON CLINTON
Location Address7425 JANES AVE STE 205Woodridge, IL 60517-2323
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
NPI 1194612564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180016035
7425 JANES AVE STE 205, Woodridge, IL 60517

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brandon Clinton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
7425 JANES AVE STE 205
WOODRIDGE, IL 60517
Psychologist (Clinical)
7425 JANES AVE STE 205
WOODRIDGE, IL 60517
Social Worker
7425 JANES AVE STE 205
WOODRIDGE, IL 60517

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 Clinton's NPI number?

The NPI number for Brandon Clinton is 1194612564. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Brandon Clinton located?

Brandon Clinton practices at 7425 Janes Ave Ste 205, Woodridge, IL 60517. The listed phone number is (217) 850-1133.

What is Brandon Clinton's specialty?

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

Is Brandon Clinton enrolled in Medicare?

Yes. Brandon Clinton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Clinton was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.