Individual provider Active NPI

Kelly Ann Bramm

  • Clinical Social Worker
  • Sterling, IL
National Provider Identifier
1164024071
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021918 Issued in IL
Practice address
110 E Lynn Blvd
Sterling, IL 61081-1085
Phone
(815) 242-2271
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149021918 IL Primary

Addresses

Primary practice location

110 E Lynn Blvd
Sterling, IL 61081-1085

Mailing address

3901 19TH Ave
Sterling, IL 61081-9412
Phone (309) 445-0801

Other practice location 1

121 S 4th St
Oregon, IL 61061-1628
Phone (815) 501-2088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly@newbeginningscounselingpllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149021918ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Center PLLC CurrentSince Jul 25, 2021 Accepting new patients
Changes Counseling, LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

121 S 4th St
Oregon, IL 61061
Phone (815) 501-2088

110 E Lynn Blvd
Sterling, IL 61081
Phone (815) 242-2271

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1164024071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 19TH AVE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819412",
            "telephone_number": "309-445-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E LYNN BLVD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811085",
            "telephone_number": "815-242-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "IL",
            "postal_code": "610611628",
            "country_code": "US",
            "telephone_number": "815-501-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMM",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@newbeginningscounselingpllc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "110 E Lynn Blvd",
            "city": "Sterling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610811085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.