Active NPI
Brenda Mends
- Mental Health Counselor
- Moline, IL
National Provider Identifier
1740912070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4600 3Rd St
Moline, IL 61265-6106 - Phone
- (309) 779-3000
- NPI assigned
- Jun 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4600 3Rd St
Moline, IL 61265-6106
Mailing address
1523 S Fairmount St
Davenport, IA 52802-3644
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1740912070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 S FAIRMOUNT ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528023644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 3RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656106",
"telephone_number": "309-779-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDS",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Medical Arts Associates, LTD.
- Medical Psychiatry Services LLC
- Michael Allan Mehlhoff, D.D.S.
- Meghan Meier, CCC-SLP
- Greg Mendrek, CRNA
- Clinton Troy Merritt
- Metro MRI Center Limited Partnership
- Metro MRI Center Limited Partnership
- Metro MRI Center, Limited Partnership
- Metropolitan Medical Laboratory, PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.