Brian Keith Lebaron, L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.006898 Issued in IL

Practice address

20 E Milwaukee St
Suite 210
Janesville, WI 53545-3069

Phone

(608) 755-1475

NPI assigned

Mar 28, 2007

Last updated

May 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janesville Psychiatric Clinic Main Inc

  • Mental Health Counselor
  • Janesville, WI
  • NPI 1659447704
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1851410278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 247",
            "address_2": "413 PRIMROSE LANE",
            "city": "DAVIS",
            "state": "IL",
            "postal_code": "610199121",
            "telephone_number": "815-865-5389",
            "fax_number": "815-865-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MILWAUKEE ST",
            "address_2": "SUITE 210",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453069",
            "telephone_number": "608-755-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBARON",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.006898",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3767-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178004166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lau Companies Inc (Miracle Ear)
• Dawn Laurent, PSY.D
• Sheree M Lauth, MD
• Kelley Beth Leach, P.T.
• Rebecca L. Leahy, PT
• Hannah E Leclair
• Valerie Ann Lecomte, D.O.
• Abby L Lee, PHARMD
• Karen M Lee, OT
• Moonhyoung Lee, DDS

• Mental Health Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.