Active NPI
Brittany N Pierson, MA, LCPC
- Mental Health Counselor
- Swansea, IL
National Provider Identifier
1639429376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180008362
- Practice address
- 4509 North Illinois Street Ste 5
Swansea, IL 62226-1524 - Phone
- (618) 920-2238
- Fax
- (877) 778-3811
- NPI assigned
- Sep 10, 2012
- Last updated
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180008362 | IL | Primary |
Addresses
Primary practice location
4509 North Illinois Street Ste 5
Swansea, IL 62226-1524
Mailing address
4509 N Illinois St Ste 5
Swansea, IL 62226-1524
Phone (618) 920-2238
Other practice location 1
17280 N Outer 40 Rd Ste 201
Chesterfield, MO 63005-1445
Phone (618) 920-2238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180008362 | IL | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Maryville, IL
- NPI 1902252174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1639429376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 N ILLINOIS ST STE 5",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261524",
"telephone_number": "618-920-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 NORTH ILLINOIS STREET STE 5",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261524",
"telephone_number": "618-920-2238",
"fax_number": "877-778-3811"
}
],
"practiceLocations": [
{
"address_1": "17280 N Outer 40 Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051445",
"country_code": "US",
"telephone_number": "618-920-2238",
"fax_number": "877-778-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERSON",
"first_name": "BRITTANY",
"middle_name": "N",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2021-05-17",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180008362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.