Individual provider Active NPI

Brianna Romanowicz, LCPC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1891251518
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7617 N Villa Wood LN
Peoria, IL 61614-1588
Phone
(309) 693-8200
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

7617 N Villa Wood LN
Peoria, IL 61614-1588

Mailing address

801 N Cherry LN
Peoria, IL 61604-4403
Phone (309) 229-0278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000032 IL Practitioner - Mental Health Counselor 8426409194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
With All Your Art Therapy, LLC Professional Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Joy Miller Professional PastSince Nov 1, 2011 Accepting new patients

Locations

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

2806 N Knoxville Ave
Peoria, IL 61604
Phone (309) 655-6961

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1891251518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CHERRY LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616044403",
            "telephone_number": "309-229-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 N VILLA WOOD LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141588",
            "telephone_number": "309-693-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOWICZ",
        "first_name": "BRIANNA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.