MR. BRANDON MICHAEL LIPIN M.A. CADC QMHP NPI 1306348016

NPI Information

NPI: 1306348016
Provider Name: MR. BRANDON MICHAEL LIPIN, M.A., CADC, QMHP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
847 CHICAGO AVE
EVANSTON, IL
ZIP 60202
Phone: (847) 660-4946
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MR. Brandon Michael Lipin, M.A., CADC, QMHP is an addiction (substance use disorder) counselor in Evanston, IL. MR. Brandon Michael Lipin, M.A., CADC, QMHP NPI is 1306348016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

847 CHICAGO AVE
EVANSTON, IL
ZIP 60202-382
Phone: (847) 660-4946

The enumeration date for this NPI number is 3/8/2018 and was last updated on 9/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	167G00000X	Licensed Psychiatric Technician		2009-082	ILLINOIS	No
2	183700000X	Pharmacy Technician		049.246255	ILLINOIS	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	35368	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	049.246255	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
2	35368	OTHER	ILLINOIS	IAODAPCA
3	PT.00363289	OTHER	KENTUCKY	KENTUCKY BOARD OF PHARMACY
4	2009-082	OTHER	ILLINOIS	AMERICAN ASSOCIATION OF PSYCHIATRIC TECHNICIANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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