The Branch Family Institute, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE BRANCH FAMILY INSTITUTE, INC.

Practice address

11111 S Western Ave
Chicago, IL 60643-3907

Phone

(773) 238-1100

Fax

(773) 238-4095

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Nikia S Thompson, LCSW

Title

Chief Operating Officer

Phone

(773) 238-1100

Specialties & licenses 1

Addresses

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oren William Brown II, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1508390857
  NPD (past)
• Quinn Debose

  • Student in an Organized Health Care Education/Training Program
  • Park Forest, IL
  • NPI 1851713291
  NPD (past)
• Priscilla Evans, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1245828987
  NPD (past)
• Charlese Nash

  • Professional Counselor
  • Chicago, IL
  • NPI 1891445466
  NPD (past)
• Cynthia Consuela Phillips, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1821337833
  NPD (past)
• Nashawna Longenese Terrell, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1376086066
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1366880429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433907",
            "telephone_number": "773-238-1100",
            "fax_number": "773-238-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433907",
            "telephone_number": "773-238-1100",
            "fax_number": "773-238-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRANCH FAMILY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-238-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Board of Trustees of the University of Illinois
• The Board of Trustees of the University of Illinois
• The Board of Trustees of University of Illinois
• The Board of Trustees of University of Illinois
• The Boulevard of Chicago
• The Breakers at Edgewater Beach
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• The Center for Affirming Families, Inc
• The Center for Contemporary Dentistry
• The Center for Jewish Adolescent Therapy

• All providers in Chicago, IL
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.