Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BROOKEN HERO ENTERPRISES LLC
NPI 1366364895
Counselor - Mental Health in Carbondale, IL

Active since July 27, 2026
1704 W TAYLOR DR, CARBONDALE, IL 62901(773) 575-3917 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooken Hero Enterprises Llc NPPES

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

BROOKEN HERO ENTERPRISES LLC (NPI 1366364895) is a healthcare organization registered as a mental health in Carbondale, Illinois and active in the NPI registry since July 2026. The organization lists Ryan James Reed, Owner, as its authorized official.

NPPES Registry Identity

NPI1366364895
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBROOKEN HERO ENTERPRISES LLC
Location Address1704 W TAYLOR DRCarbondale, IL 62901-2115
Mailing Address1704 W Taylor DrCarbondale, IL 62901-2115 · (773) 575-3917
Organization SubpartNo
Authorized OfficialRyan James ReedOwner · (773) 575-3917
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1366364895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1704 W TAYLOR DR, Carbondale, IL 62901

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

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
1704 W TAYLOR DR
CARBONDALE, IL 62901
Counselor (Mental Health)
1704 W TAYLOR DR
CARBONDALE, IL 62901

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 Brooken Hero Enterprises LLC's NPI number?

The NPI number for Brooken Hero Enterprises LLC is 1366364895. It was assigned to this organization in the NPPES registry on July 27, 2026.

Where is Brooken Hero Enterprises LLC located?

Brooken Hero Enterprises LLC is located at 1704 W Taylor Dr, Carbondale, IL 62901. The listed phone number is (773) 575-3917.

What is Brooken Hero Enterprises LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brooken Hero Enterprises LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.