Active NPI
Brainwork Services LLC
- Counselor
- Muncie, IN
National Provider Identifier
1497402986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- BRAINWORK SERVICES LLC
- Practice address
- 1400 W Royale Dr
Muncie, IN 47304-2235 - Phone
- (317) 324-0329
- Fax
- (317) 754-7325
- NPI assigned
- Mar 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charmayne A Duerson-Shoemaker
- Title
- Chief Executive Officer
- Phone
- (602) 329-2291
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
1400 W Royale Dr
Muncie, IN 47304-2235
Mailing address
1400 W Royale Dr
Muncie, IN 47304-2235
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Muncie, IN
- NPI 1346996055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1497402986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042235",
"telephone_number": "317-324-0329",
"fax_number": "317-754-7325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINWORK SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "DUERSON-SHOEMAKER",
"authorized_official_first_name": "CHARMAYNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "602-329-2291"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.