Maureen Brenner-Mitchell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.010958 Issued in IL

Practice address

1121 E Main St Ste 310
Saint Charles, IL 60174-2276

Phone

(630) 277-9731

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Therapy, LLC

  • Mental Health Counselor
  • Geneva, IL
  • NPI 1528837259
  Medicare reassignment NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1902509284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 SANDALWOOD CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043289",
            "telephone_number": "630-788-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MAIN ST STE 310",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742276",
            "telephone_number": "630-277-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER-MITCHELL",
        "first_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brannick Clinic of Natural Medicine, S.C.
• Bravo Care of St Charles Inc
• Meagan Brayton, BCBA
• Justin Brendel
• Courtney Lynn Brendle, BCBA
• Krista G Brennfoerder, MA, LCPC
• Diane Bristol, CFNP
• Susan Bernice Broderick, LCSW
• Nadine Brokhof
• Katherine D. Brosier, LCSW

• Professional Counselor in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.