Browndeer Family Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

071033575 Issued in IL

Legal business name

BROWNDEER FAMILY SERVICES, INC

Practice address

7120 Windsor Lake Pkwy
Loves Park, IL 61111-3803

Phone

(815) 877-9999

Fax

(815) 877-2601

NPI assigned

Jul 1, 2008

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Ann Brown, ED.D.NPI 1689697559

Title

Principle Officer

Phone

(815) 877-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Ann Brown, ED.D.

  • Psychologist
  • Loves Park, IL
  • NPI 1689697559
  NPD (past) Authorized official
• Ember Marie Pastore-Hills

  • Professional Counselor
  • Loves Park, IL
  • NPI 1356501571
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1598927436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 WINDSOR LAKE PKWY",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113803",
            "telephone_number": "815-877-9999",
            "fax_number": "815-877-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 WINDSOR LAKE PKWY",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113803",
            "telephone_number": "815-877-9999",
            "fax_number": "815-877-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNDEER FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRINCIPLE OFFICER",
        "authorized_official_telephone_number": "815-877-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "071033575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgewood Counseling
• Sarah Briggs
• Gary David Broom, D.C.
• Kathryn Ann Brown, ED.D.
• Maggie Brown
• Budzynski Counseling Services Inc.
• John Andrew Budzynski, M.A, L.C.P.C.
• Leann A Burch, DMD
• Holli Burkhart, LMT
• Kevin M. Burns, PA-C

• Mental Health Counselor in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.