Active NPI
Elizabeth Lassandrello Bremner
- Professional Counselor
- Oswego, IL
National Provider Identifier
1235669763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178011187
- Practice address
- 123 W. Washington St
Oswego, IL 60543 - Phone
- (630) 383-2077
- NPI assigned
- Jun 18, 2017
- Last updated
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178011187 | IL | Primary |
| School Counselor | 101YS0200X | 1001524 | IL |
Addresses
Primary practice location
123 W. Washington St
Oswego, IL 60543
Mailing address
123 W Washington St Ste 321
Oswego, IL 60543-8297
Phone (630) 383-2077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178011187 | IL | MD | Professional Counselor |
| 1001524 | IL | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Bend Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Oswego, IL
- NPI 1134554827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497744000000",
"number": "1235669763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W WASHINGTON ST STE 321",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438297",
"telephone_number": "630-383-2077",
"fax_number": "630-383-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W. WASHINGTON ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "60543",
"telephone_number": "630-383-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMNER",
"first_name": "ELIZABETH",
"middle_name": "LASSANDRELLO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2017-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178011187",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "1001524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
- Jennifer Borrowman
- Debarati Banerji Bose, MD
- Vincent Botta, A.P.N.
- Melanie Daniela Bourgoine, LSW
- Lindsay Brady
- Valerie Bremner, RN
- Bright Star Ambulance, Inc.
- Brighter Days Counseling, PLLC (Brighter Days Counseling)
- Brighter Days Counseling, PLLC (Brighter Days Counseling)
- Lisa Renee Brooker, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.