Individual provider Active NPI

Brittany N Pierson, MA, LCPC

  • Mental Health Counselor
  • Swansea, IL
National Provider Identifier
1639429376
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008362 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
180008362ILMDMental 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.

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.

Verify at the official NPI Registry.