| Orange Tree Counseling And Consulting, Llc | |
|
825 Chicago Ave Fl 2a Evanston IL 60202-2375 | |
| (312) 725-4088 | |
| Not Available |
| Full Name | Orange Tree Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 825 Chicago Ave Fl 2a, Evanston, Illinois |
| Authorized Official Name and Position | Brenda Marie Reavis (FOUNDER/THERAPIST) |
| Authorized Official Contact | 3127254088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Tree Counseling And Consulting, Llc 155 N Michigan Ave Ste 760a Chicago IL 60601-7711 Ph: (312) 725-4088 | Orange Tree Counseling And Consulting, Llc 825 Chicago Ave Fl 2a Evanston IL 60202-2375 Ph: (312) 725-4088 |
| NPI Number | 1508452434 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 07/18/2025 |
| Certification Date | 07/18/2025 |
| Medicare PECOS PAC ID | 0941723969 |
|---|---|
| Medicare Enrollment ID | O20250401000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508452434 | NPI | - | NPPES |
| 1508452434 | Medicaid | IL | |
| 322769303001 | Medicaid | IL | |
| 1477097962 | Medicaid | IL | |
| 1295397669 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brenda Marie Reavis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295397669 PECOS PAC ID: 2769905785 Enrollment ID: I20250407002368 |
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