Lisa Brasch, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149007659 Issued in IL

Practice address

4085 N Broadway St
Chicago, IL 60613-2117

Phone

(773) 883-9100

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Roper Saint Francis Physicians Network

  • Pulmonary Disease Physician
  • Moncks Corner, SC
  • NPI 1275821688
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1194069153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W GRANVILLE AVE APT 909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605208",
            "telephone_number": "773-554-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-883-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASCH",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149007659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortika Brantley
• Jill Brantz, LCSW
• Charanjit K Brar, RN, ACNP
• Jasdeep S. Brar, M.D.
• Kelsey Ann Brar, DMD
• Cassandra Joyce Brasel, LPC
• Charlinda Turner Brashear, LCSW
• Megan Elizabeth Brashears, RN
• Chloe Brass
• Connor Brass

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.