Supportive Interventions LLC
NPI 1104675404ActiveOrganization· Counselor, Professional· Evergreen Park, IL
Counselor, Professional in Evergreen Park, Illinois, registered in NPPES in May 2024. The authorized official on file is Brinyel Perkins, MA, LCPC, Licensed Clinical Professional Coun.
Overview
| NPI | 1104675404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2024 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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