Bryan J Denure, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180006002 Issued in IL

Practice address

403 W Virginia Ave
Normal, IL 61761-3666

Phone

(309) 268-3669

Fax

(309) 268-3649

NPI assigned

Apr 14, 2010

Last updated

Apr 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1669798716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST VIRGINIA AVENUE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-268-3669",
            "fax_number": "309-268-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W VIRGINIA AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613666",
            "telephone_number": "309-268-3669",
            "fax_number": "309-268-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENURE",
        "first_name": "BRYAN",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamy Delk, MSW
• Kaden Dellinger
• Heather Deloriea, PT
• Tami J Demay, LPT
• Marcia Lynn Dennis, M.S., CCC-SLP, L.
• Morgan Elizabeth Deplanty, ATC, LAT
• Tyler Devault
• Thomas Deweert, MD
• Girishkumar Dhorajia, MD
• Marwan Dib, MD

• Mental Health Counselor in Normal, IL
• Providers in Normal, 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 Apr 14, 2010; 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.