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MR. BRYAN HEIDEL LCPC
NPI 1639647696
Counselor in Chicago, IL

Active since November 07, 2018
2950 W CHICAGO AVE, CHICAGO, IL 60622(773) 569-9553 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2018, Nov 7, 2018 (2 updates tracked since 2018).

About Mr. Bryan Heidel Lcpc NPPES

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

MR. BRYAN HEIDEL LCPC (NPI 1639647696) is an individual counselor in Chicago, Illinois, licensed in Illinois (180.011883) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1639647696
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. BRYAN HEIDELCredential: LCPC
Location Address2950 W CHICAGO AVEChicago, IL 60622-4375
Mailing Address1823 N Saint Louis AveChicago, IL 60647-4824 · (177) 356-9955
Phone(773) 569-9553
Sole ProprietorNo
Enumeration DateNovember 7, 2018
Last NPPES UpdateNovember 13, 20182 updates tracked since enumeration
✔ NPI 1639647696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.011883
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2950 W CHICAGO AVE, Chicago, IL 60622
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Other Providers at the Same Location NPPES 5

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

AGAVE STUDIO, LLC
Counselor (Professional)
2950 W CHICAGO AVE, SUITE 202
CHICAGO, IL 60622
Cook County (618) 444-8801
DR. JANEIL NELLIS RUIZ PSY.D.
Psychologist (Clinical)
2950 W CHICAGO AVE, SUITE 302 C
CHICAGO, IL 60622
Cook County (773) 627-2112
AGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION
Psychologist (Clinical)
2950 W CHICAGO AVE, #302
CHICAGO, IL 60622
Cook County (773) 627-2112
LISA JANE WIESE LCSW
Social Worker (Clinical)
2950 W CHICAGO AVE, SUITE 202
CHICAGO, IL 60622
Cook County (773) 632-8675
BRAVE SPACE COUNSELING & CONSULTING LLC
Social Worker (Clinical)
2950 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (312) 834-3490

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 Bryan Heidel's NPI number?

The NPI number for Bryan Heidel is 1639647696. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Bryan Heidel located?

Bryan Heidel practices at 2950 W Chicago Ave, Chicago, IL 60622. The listed phone number is (773) 569-9553.

What is Bryan Heidel's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Bryan Heidel was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.