Jim Brunetti

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

180.010988 Issued in IL

Practice address

2 American Way
Elgin, IL 60120-4341

Phone

(847) 742-3545

NPI assigned

Aug 12, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jim Brunetti

  • Community/Behavioral Health Agency
  • Palatine, IL
  • NPI 1427448521
  NPD (past) Authorized official
• Ecker Center for Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Elgin, IL
  • NPI 1972849719
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1700295961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S QUENTIN RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676778",
            "telephone_number": "847-485-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AMERICAN WAY",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204341",
            "telephone_number": "847-742-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTI",
        "first_name": "JIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180.010988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700295961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn S Brown, PT
• Diane Faye Brown
• Shirley Brown
• Gregg Bruhn, RPH
• Jacqueline Nicole Brunelle, LCSW
• Chloe Rose Brunner
• Jack Michael Brunson, PA-C
• Josh Brunsting
• Sara Brunsting, LPC
• Bryan R Blazer DDS PC

• Addiction (Substance Use Disorder) Counselor in Elgin, IL
• Providers in Elgin, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.