MR. BRIAN J FAGAN
NPI 1669013843
Counselor - Professional in Chicago, IL

Active since September 30, 2019PECOS Enrolled
310 W CHICAGO AVE, CHICAGO, IL 60654(312) 943-6545 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2022, Sep 30, 2019 (2 updates tracked since 2019).

About Mr. Brian J Fagan NPPES

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

MR. BRIAN J FAGAN (NPI 1669013843) is an individual professional provider in Chicago, Illinois and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669013843
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRIAN J FAGAN
Location Address310 W CHICAGO AVEChicago, IL 60654-5106
Mailing Address990 Grove St Ste 303Evanston, IL 60201-6513
Sole ProprietorYes
Enumeration DateSeptember 30, 2019
Last NPPES UpdateMay 14, 20222 updates tracked since enumeration
NPPES CertifiedMay 14, 2022
NPI 1669013843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
310 W CHICAGO AVE, Chicago, IL 60654

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brian J Fagan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
310 W CHICAGO AVE
CHICAGO, IL 60654
Counselor (Addiction (Substance Use Disorder))
310 W CHICAGO AVE
CHICAGO, IL 60654
Clinic/Center (Methadone)
310 W CHICAGO AVE
CHICAGO, IL 60654
Social Worker (Clinical)
310 W CHICAGO AVE
CHICAGO, IL 60654
Counselor
310 W CHICAGO AVE
CHICAGO, IL 60654
Counselor (Mental Health)
310 W CHICAGO AVE
CHICAGO, IL 60654
Counselor (Professional)
310 W CHICAGO AVE
CHICAGO, IL 60654
Counselor (Professional)
310 W CHICAGO AVE
CHICAGO, IL 60654

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 Brian Fagan's NPI number?

The NPI number for Brian Fagan is 1669013843. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Brian Fagan located?

Brian Fagan practices at 310 W Chicago Ave, Chicago, IL 60654. The listed phone number is (312) 943-6545.

What is Brian Fagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brian Fagan enrolled in Medicare?

Yes. Brian Fagan is registered in the Medicare PECOS enrollment system.

What insurance does Brian Fagan accept?

Health plans from MercyCare Health Plans, Quartz and UnitedHealthcare list Brian Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Fagan was last updated on May 14, 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.