Allison D. Braswell, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ALLISON D. BRASWELL, PLLC

Practice address

4675 Bluestem Rd
Roscoe, IL 61073-7788

Phone

(815) 978-1067

NPI assigned

Jun 4, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allison D Braswell, LCSWNPI 1164941522

Title

Provider

Phone

(815) 978-1067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Diane Braswell, MSW, LCSW

  • Mental Health Counselor
  • Roscoe, IL
  • NPI 1164941522
  NPD Authorized official

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1790309706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 BLUESTEM RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737788",
            "telephone_number": "815-978-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 BLUESTEM RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737788",
            "telephone_number": "815-978-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON D. BRASWELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "815-978-1067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Roscoe, IL
• Providers in Roscoe, 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 Jun 4, 2020; 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.