Brandi M Lander, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149010571 Issued in IL

Practice address

1107 N. Blackhawk Blvd
Suite 8
Rockton, IL 61072-1500

Phone

(815) 519-1074

Fax

(815) 977-5929

NPI assigned

Nov 10, 2006

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandi M Osterberg Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carey Counseling

  • Mental Health Counselor
  • Rockford, IL
  • NPI 1437513645
  NPD (past)
• Stateline Counseling Services LLC

  • Clinical Social Worker
  • Rockton, IL
  • NPI 1033551320
  NPD (past)
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1245301472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N. BLACKHAWK BLVD",
            "address_2": "SUITE 8",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610721500",
            "telephone_number": "815-519-1074",
            "fax_number": "815-977-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N. BLACKHAWK BLVD",
            "address_2": "SUITE 8",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610721500",
            "telephone_number": "815-519-1074",
            "fax_number": "815-977-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "BRANDI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149010571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL 5794",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "OSTERBERG",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josh Vos Counseling, PLLC
• Kristi Kamholz, CCC, SLP
• Shara Kennedy Corvera, DDS
• Tiffany Kragenbrink
• Lauren A Lambdin, M.S., CCC-SLP
• Sarah K Langlois, LCSW
• Lighthouse Speech Therapy, PLLC
• Elizabeth Lutmer
• Rachel Hope Lynch, L.AC
• Michael A Martinez, HSW

• Mental Health Counselor in Rockton, IL
• Providers in Rockton, 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 Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.