BREANNA LYNN VANDEN BOOGART LPC
NPI 1407503592
Counselor - Mental Health in Willowbrook, IL

Active since March 08, 2022
6713 KINGERY HWY, WILLOWBROOK, IL 60527(773) 234-0423 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Lynn Vanden Boogart Lpc NPPES

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

BREANNA LYNN VANDEN BOOGART LPC (NPI 1407503592) is an individual mental health provider in Willowbrook, Illinois, licensed in Illinois (178.015433) and active in the NPI registry since March 2022. She maintains a secondary practice location in Crown Point.

NPPES Registry Identity

NPI1407503592
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREANNA LYNN VANDEN BOOGARTCredential: LPC
Location Address6713 KINGERY HWYWillowbrook, IL 60527-5142
Mailing Address9659 Bryan PlCrown Point, IN 46307-7472 · (708) 822-2467
Sole ProprietorNo
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 6, 2022
NPI 1407503592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.015433
6713 KINGERY HWY, Willowbrook, IL 60527

Secondary Practice Location 1

Location 19659 Bryan PlCrown Point, IN 46307-7472 · Phone (708) 822-2467

Other Providers at the Same Location NPPES 4

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

Counselor
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Counselor (Mental Health)
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Social Worker (Clinical)
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Counselor (Professional)
6713 KINGERY HWY
WILLOWBROOK, IL 60527

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 Breanna Vanden Boogart's NPI number?

The NPI number for Breanna Vanden Boogart is 1407503592. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Breanna Vanden Boogart located?

Breanna Vanden Boogart practices at 6713 Kingery Hwy, Willowbrook, IL 60527. The listed phone number is (773) 234-0423.

What is Breanna Vanden Boogart'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 Breanna Vanden Boogart was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.