MEDICARE: MR. BRETT RYAN ZELENCIK LCPC, LPC, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	180012749	IL

General Provider Information

NPI Number	:	1235685983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRETT RYAN ZELENCIK LCPC, LPC, LMHC

Provider Business Mailing Address
First Line	:	6033 N SHERIDAN RD STE S5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-3013
Country	:	US
Telephone Number	:	708-648-2738
Fax Number	:

Provider Business Practice Location Address
First Line	:	6033 N SHERIDAN RD STE S5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-3013
Country	:	US
Telephone Number	:	708-648-2738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	01/13/2026

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