NATHANIEL BRANCH
NPI 1043920036
Counselor - Addiction (Substance Use Disorder) in Dekalb, IL

Active since November 30, 2022
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathaniel Branch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL BRANCH (NPI 1043920036) is an individual addiction (substance use disorder) provider in Dekalb, Illinois and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1043920036
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNATHANIEL BRANCH
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 756-4875 · Fax (815) 756-2944
Sole ProprietorYes
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
NPI 1043920036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12 HEALTH SERVICES DR, Dekalb, IL 60115

Other Identifiers 1

Medicaid4745791890010IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Branch's NPI number?

The NPI number for Nathaniel Branch is 1043920036. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Nathaniel Branch located?

Nathaniel Branch practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Nathaniel Branch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nathaniel Branch was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.