BRAVURA THERAPY PLLC
NPI 1255951158
Marriage & Family Therapist in Chicago, IL

Active since April 21, 2020
561 W DIVERSEY PKWY STE 209, CHICAGO, IL 60614(872) 222-8044 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bravura Therapy Pllc NPPES

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

BRAVURA THERAPY PLLC (NPI 1255951158) is a healthcare organization registered as a marriage & family therapist in Chicago, Illinois and active in the NPI registry since April 2020. The organization lists Aubrey Ryan, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1255951158
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameBRAVURA THERAPY PLLC
Location Address561 W DIVERSEY PKWY STE 209Chicago, IL 60614-1682
Mailing Address561 W Diversey Pkwy Ste 209Chicago, IL 60614-1682 · (872) 222-8044
Organization SubpartNo
Authorized OfficialAubrey RyanCo-owner · (872) 222-8044
Enumeration DateApril 21, 2020
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1255951158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
561 W DIVERSEY PKWY STE 209, Chicago, IL 60614

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bravura Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bravura Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1396080297
4740 N CLARK ST
Chicago, IL 60640
(773) 275-6946
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bravura Therapy PLLC's NPI number?

The NPI number for Bravura Therapy PLLC is 1255951158. It was assigned to this organization in the NPPES registry on April 21, 2020.

Where is Bravura Therapy PLLC located?

Bravura Therapy PLLC is located at 561 W Diversey Pkwy Ste 209, Chicago, IL 60614. The listed phone number is (872) 222-8044.

What is Bravura Therapy PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bravura Therapy PLLC enrolled in Medicare?

Yes. Bravura Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bravura Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Bravura Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bravura Therapy PLLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.