Brill Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3677123 Issued in WI

Legal business name

BRILL COUNSELING

Practice address

4433 N Oakland Ave
Shorewood, WI 53211-1600

Phone

(414) 906-1445

Fax

(414) 906-1445

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Mary Jo Brill, LCSW

Title

Psychotherapist

Phone

(414) 906-1445

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1174913156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111600",
            "telephone_number": "414-906-1445",
            "fax_number": "414-906-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111600",
            "telephone_number": "414-906-1445",
            "fax_number": "414-906-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-906-1445",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3677123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7969123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Marie Blohm, MS/CF-SLP
• Christine Boisvert, RN
• Jane E Boland
• Cynthia D. Braunschweig, P.T., CSCS
• Faythe Brennan
• Mary J Brill, LCSW
• Sarah Elizabeth Brill, LCSW
• Edwin S Brookes, DMD
• Karyn L Brzezinski, DDS
• Jonathan J. Buchler, MSW, LCSW

• Clinical Social Worker in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.