Organization Active NPI

Brittany Pierson, LLC

  • Mental Health Counselor
  • Maryville, IL
National Provider Identifier
1902252174
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008362 Issued in IL
Legal business name
BRITTANY PIERSON, LLC
Practice address
2016 Vadalabene Dr
Suite a
Maryville, IL 62062-6901
Phone
(618) 920-2238
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Brittany Pierson, MA, LCPC
Title
Owner
Phone
(618) 920-2238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180008362 IL Primary

Addresses

Primary practice location

2016 Vadalabene Dr
Suite a
Maryville, IL 62062-6901

Mailing address

2016 Vadalabene Dr
Suite a
Maryville, IL 62062-6901
Phone (618) 920-2238

National Provider Directory

National Provider Directory

Locations

2016 Vadalabene Dr
Ste A
Maryville, IL 62062
Phone (618) 604-1696

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1902252174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 VADALABENE DR",
            "address_2": "SUITE A",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626901",
            "telephone_number": "618-920-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 VADALABENE DR",
            "address_2": "SUITE A",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626901",
            "telephone_number": "618-920-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY PIERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-920-2238",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.