Individual provider Active NPI

Brandi Janisch, MA, LCPC

  • Professional Counselor
  • West Dundee, IL
National Provider Identifier
1548557804
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007825 Issued in IL
Practice address
600 Spring Hill Ring Rd
Suite 118
West Dundee, IL 60118-7300
Phone
(773) 682-8518
NPI assigned
Jul 6, 2011
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007825 IL Primary

Addresses

Primary practice location

600 Spring Hill Ring Rd
Suite 118
West Dundee, IL 60118-7300

Mailing address

600 Spring Hill Ring Rd
Suite 118
West Dundee, IL 60118-7300
Phone (773) 682-8518

Other names 1

  • Brandi Kay Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007825ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1548557804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "address_2": "SUITE 118",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "773-682-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "address_2": "SUITE 118",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "773-682-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISCH",
        "first_name": "BRANDI",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "JOHNSON",
            "middle_name": "KAY",
            "credential": "MA, LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.