Abigail Brown

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.020987 Issued in IL

Practice address

16 Emerald Ter
Swansea, IL 62226-2321

Phone

(618) 558-9035

NPI assigned

Nov 15, 2024

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)

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.

• Midwest Advanced Behavioral Health PLLC

  • Professional Counselor
  • Swansea, IL
  • NPI 1588437636
  NPD

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1255155289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 MICHAEL DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351322",
            "telephone_number": "618-419-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EMERALD TER",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262321",
            "telephone_number": "618-558-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.020987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Gullick Bridenbaugh, MS,CCC-SLP
• Lawrence E Bridges, DC
• Bright Smiles
• Matthew Brigman
• Brigitta M. Brink, RN, MSN, CWOCN
• Ashley Renee Brown, MSW, LCSW
• Jedsia Omega Brown
• Syntia Brown, LMT
• Kyria Anastasia Buchanan, PMHNP
• Brian E Buescher, P.T.

• Professional Counselor in Swansea, IL
• Providers in Swansea, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.