Brett Austin Vacek

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180011170 Issued in IL

Practice address

2440 Tech Dr Ste 3
Bettendorf, IA 52722-7004

Phone

(217) 218-3456

NPI assigned

Sep 2, 2015

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bettendorf Counseling Center PLLC

  • Counselor
  • Bettendorf, IA
  • NPI 1285347419
  NPD Authorized official
• Des Moines Mental Health Center, PLLC

  dba Des Moines Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coal Valley, IL
  • NPI 1710866298
  NPD Authorized official
• Quad Cities Recovery & Counseling Center LLC

  • Counselor
  • Moline, IL
  • NPI 1578410627
  NPD Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1427426873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 10TH ST W",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017744",
            "telephone_number": "217-218-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TECH DR STE 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227004",
            "telephone_number": "217-218-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 Woodlawn Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610814151",
            "country_code": "US",
            "telephone_number": "815-625-0013 x137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACEK",
        "first_name": "BRETT",
        "middle_name": "AUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180011170",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427426873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uncommon Chiropractic
• Upchurch Chiropractic Inc (True North Family Chiropractic)
• Marlena Urbain, MSW
• Joseph Charles Urbaitis, O.D.
• Gordon B Urbi, MD
• Duane Arlyn Van Nieuwenhuyzen, D.D.S.
• Michael Wayne Vandello, DDS
• Laurel A. Vanklaveren, LHMC, LCPC
• Jessica Vann, ARNP
• Lauren Vanspeybroeck, MS, CF-SLP

• Counselor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.