Brandy Lynn Deege, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008357 Issued in IL

Practice address

316 N 9TH St
Quincy, IL 62301-2742

Phone

(217) 222-8254

Fax

(217) 222-4512

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brandy Lynn Kruse Former name

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Foundations for FamiliesGroup PAC ID 9739275942, 4 clinicians

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.

• Cornerstone Foundations for Families

  • Mental Health Counselor
  • Quincy, IL
  • NPI 1649366865
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1982941597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W RICHWOODS BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616047112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 9TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012742",
            "telephone_number": "217-222-8254",
            "fax_number": "217-222-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEGE",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "KRUSE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry J. Davis, MD
• Ryan Davis, MOT, OTR/L
• Scott Andrew Davis, CRNA
• Ashley Marie Dawkins
• Mary Beth Decker
• Louis E. Degreeff, M.D.
• John R.S. Deguzman, M.D.
• Martha Dehakiz, OT
• Francisco Delacruz-Newlan, M.D.
• Maylene Rosete Delos Reyes

• Professional Counselor in Quincy, IL
• Providers in Quincy, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.