Brett David Baird, LSW
Individual provider Active NPI Mental Health Counselor · Marion, IL
NPI 1104522192 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1104522192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2401 W Main St
Marion, IL 62959-1188 - Phone
- (618) 997-5311
- NPI assigned
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2401 W Main St
Marion, IL 62959-1188
Mailing address
2401 W Main St
Marion, IL 62959-1188
Phone (618) 997-5311
Other providers in Marion, IL
- Ashley Aylesworth
- Back N Motion Rehab Services LLC
- Kofoworola Olanike Badejo
- Gary E Baer
- Kelly P. Bagalawis
- Christina Baird
- Mitchell Baker
- Tiffany Baldi
- Brittny Banks
- Sage Lucille Banks
All providers in Marion, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.