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BRANDON DOUGLAS, LCPC, PLLC
NPI 1538859079
Counselor - Mental Health in Bourbonnais, IL

Active since May 09, 2023
8 HERITAGE PLAZA, BOURBONNAIS, IL 60914(309) 706-4989 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, May 9, 2023 (2 updates tracked since 2023).

About Brandon Douglas, Lcpc, Pllc NPPES

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

BRANDON DOUGLAS, LCPC, PLLC (NPI 1538859079) is a healthcare organization registered as a mental health in Bourbonnais, Illinois and active in the NPI registry since May 2023. The organization lists Brandon Douglas, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1538859079
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBRANDON DOUGLAS, LCPC, PLLC
Location Address8 HERITAGE PLAZABourbonnais, IL 60914
Mailing Address6933 175th StTinley Park, IL 60477-3826 · (309) 706-4989
Phone(309) 706-4989
Organization SubpartNo
Authorized OfficialBrandon DouglasLicensed Professional Counselor · (309) 706-4989
Enumeration DateMay 9, 2023
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1538859079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8 HERITAGE PLAZA, Bourbonnais, IL 60914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

REBECCA ELLEN COUNSELING INC
Community/Behavioral Health
8 HERITAGE PLAZA
BOURBONNAIS, IL 60914
Kankakee County (815) 348-5957

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 Douglas, Lcpc, PLLC's NPI number?

The NPI number for Brandon Douglas, Lcpc, PLLC is 1538859079. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Brandon Douglas, Lcpc, PLLC located?

Brandon Douglas, Lcpc, PLLC is located at 8 Heritage Plaza, Bourbonnais, IL 60914. The listed phone number is (309) 706-4989.

What is Brandon Douglas, Lcpc, PLLC'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 Brandon Douglas, Lcpc, PLLC was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.