Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demitrius Brackett, OWNER/DO

Individual provider Adult Companion · NPI 1053911479

Demitrius Brackett, OWNER/DO is an Adult Companion in Joliet, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
4

Practice location Address checks out

411 N Bluff St Apt 11
Joliet, IL 60435-7295
Phone: (815) 766-5999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence AC-6153-55852005 (IL)
Adult Companion Taxonomy 372600000X · Licence AC-6153-55852005 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence AC-6153-55852005 (IL)
Meals Provider Taxonomy 174200000X · Licence AC-6153-55852005 (IL)

Record details

NPI number1053911479
Entity typeIndividual (Type 1)
GenderMale
Credentials OWNER/DO
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address311 N Ottawa St Apt 209, Joliet, IL 60432-4080