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MR. BRIAN CHARLES WENNBERG B.A.
NPI 1104989193
Counselor - Mental Health in Champaign, IL

Active since December 19, 2006
202 W. PARK, CHAMPAIGN, IL 61820(217) 373-2430(217) 373-2444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Charles Wennberg B.a. NPPES

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

MR. BRIAN CHARLES WENNBERG B.A. (NPI 1104989193) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1104989193
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRIAN CHARLES WENNBERGCredential: B.A.
Location Address202 W. PARKChampaign, IL 61820-3928
Mailing Address202 W. ParkChampaign, IL 61820-3928 · (217) 373-2430 · Fax (217) 373-2444
Phone(217) 373-2430
Fax(217) 373-2444
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104989193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
202 W. PARK, Champaign, IL 61820
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Other Providers at the Same Location NPPES

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

MS. MARIA DENISE SHAW BSW
Counselor (Mental Health)
202 W. PARK
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430

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 Brian Wennberg's NPI number?

The NPI number for Brian Wennberg is 1104989193. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Brian Wennberg located?

Brian Wennberg practices at 202 W. Park, Champaign, IL 61820. The listed phone number is (217) 373-2430.

What is Brian Wennberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brian Wennberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.