Brittany Lee Nelson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.023129 Issued in IL

Practice address

121 S 4TH St
Oregon, IL 61061-1628

Phone

(815) 732-2499

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Changes Counseling, LLC

  • Professional Counselor
  • Mendota, IL
  • NPI 1548573108
  NPD
• Serenity Hospice and Home

  • Community Based Hospice Care Agency
  • Oregon, IL
  • NPI 1184661100
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1194393223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611628",
            "telephone_number": "815-501-2088",
            "fax_number": "815-562-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611628",
            "telephone_number": "815-732-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1658 S Il Route 2",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "IL",
            "postal_code": "610619514",
            "country_code": "US",
            "telephone_number": "815-732-2499",
            "fax_number": "815-732-6077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRITTANY",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.023129",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "149.023129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Oregon",
            "affiliation": "N",
            "address_1": "121 S 4th St",
            "city": "Oregon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610611628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oregon",
            "affiliation": "N",
            "address_1": "1658 S Il Route 2",
            "city": "Oregon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610619514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Meisel
• Cody Conrad Merrill, PTA
• Dawn Henderson Meyer
• Sara E. Modrzejewski
• Mark K Myers, M.D.
• Michael D Nelson, DC
• Mindy Nesemeier, NP
• Oregon Ambulance Service,Inc
• Oregon Cu School 220
• Oregon Dental LLC

• Mental Health Counselor in Oregon, IL
• Providers in Oregon, 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 Jun 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.