Brandi Suzanne Northrup, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.011327 Issued in IL

Practice address

822 N 129TH Infantry Dr
Suite 103
Joliet, IL 60435-3105

Phone

(815) 823-8460

Fax

(815) 823-8460

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Sykes Group, LTD

  • Professional Counselor
  • Joliet, IL
  • NPI 1093026346
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1609925221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N 129TH INFANTRY DR",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353105",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N 129TH INFANTRY DR",
            "address_2": "SUITE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353105",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "BRANDI",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Nitsche, MD
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• North Plainfield LLC
• Northeast Nephrology Consultants
• Kathleen A'Hearn Novak, D.C.
• Laura C Novak
• Geraldine Bemabou Ntum, N.P.
• Nuclear Oncology, SC
• Boris Nulman, M.D.

• Mental Health Counselor in Joliet, IL
• Providers in Joliet, 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 Sep 26, 2011; 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.