Individual provider Active NPI

Brittany Wright

  • Mental Health Counselor
  • Godfrey, IL
National Provider Identifier
1891464327
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.016373 Issued in IL
Practice address
5237 Englewood Dr
Godfrey, IL 62035-1910
Phone
(404) 236-5706
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 180.016373 IL Primary

Addresses

Primary practice location

5237 Englewood Dr
Godfrey, IL 62035-1910

Mailing address

5237 Englewood Dr
Godfrey, IL 62035-1910
Phone (404) 236-5706

Other identifiers 1

IdentifierTypeStateIssuer
4A00-IPI-032MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250428003277 IL Practitioner - Mental Health Counselor 8224554712 Reassigns benefits to 1 organization
I20251016000465 IN Practitioner - Mental Health Counselor 8224554712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5237 Englewood Dr
Godfrey, IL 62035-1910

5325 E 82ND St
Indianapolis, IN 46250-4510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016373ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limelight Recovery LLC CurrentSince Jan 25, 2025 Accepting new patients

Locations

5325 E 82nd St
Indianapolis, IN 46250
Phone (812) 994-0902

Organizations & group practices 1

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1891464327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 ENGLEWOOD DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351910",
            "telephone_number": "404-236-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 ENGLEWOOD DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351910",
            "telephone_number": "404-236-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4A00-IPI-032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Godfrey, IL

Sources for this page

Verify at the official NPI Registry.