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MR. DOUGLAS CARL BREUNLIN LCSW
NPI 1518087774
Social Worker - Clinical in Evanston, IL

Active since March 30, 2007Opted out of Medicare · through Apr 1, 2027
618 LIBRARY PL, EVANSTON, IL 60201(847) 733-4300(847) 733-0590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Douglas Carl Breunlin Lcsw NPPES

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

MR. DOUGLAS CARL BREUNLIN LCSW (NPI 1518087774) is an individual clinical provider in Evanston, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518087774
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DOUGLAS CARL BREUNLINCredential: LCSW
Location Address618 LIBRARY PLEvanston, IL 60201-2908
Mailing Address1806 Colfax StEvanston, IL 60201-2528 · (708) 280-8370 · Fax (847) 733-0390
Phone(847) 733-4300
Fax(847) 733-0590
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518087774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
618 LIBRARY PL, Evanston, IL 60201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Douglas Carl Breunlin Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. BRITTNEY R BOLDEN M.S.
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300
MS. SHARI HOPE ROGERS LCSW
Social Worker
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (312) 609-5300
GUSTAVO MEDRANO PHD
Psychologist
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300
JOSE LUIS HERNANDEZ LMFT
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300
DR. DANIELLE ANNA BLACK PH.D.
Psychologist (Family)
618 LIBRARY PL, THE FAMILY INSTITUTE
EVANSTON, IL 60201
Cook County (847) 733-4300
AMY FREED MA, LCPC
Counselor (Mental Health)
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300
KATHLEEN GETTELFINGER
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300
JING LAN
Marriage & Family Therapist
618 LIBRARY PL
EVANSTON, IL 60201
Cook County (847) 733-4300

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 Douglas Breunlin's NPI number?

The NPI number for Douglas Breunlin is 1518087774. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Douglas Breunlin located?

Douglas Breunlin practices at 618 Library Pl, Evanston, IL 60201. The listed phone number is (847) 733-4300.

What is Douglas Breunlin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Douglas Breunlin enrolled in Medicare?

No. Douglas Breunlin has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Breunlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.