BRANDON L UNDERWOOD LPC
NPI 1144718149
Counselor - Professional in Pekin, IL

Q: What is Brandon Underwood's NPI number?

The NPI number for Brandon Underwood is 1144718149. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Q: What is Brandon Underwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Underwood was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment

11 S CAPITOL ST, PEKIN, IL 61554(309) 346-7800 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2018, Apr 25, 2018 (2 updates tracked since 2018).

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About Brandon L Underwood Lpc NPPES

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

BRANDON L UNDERWOOD LPC (NPI 1144718149) is an individual professional provider in Pekin, Illinois, licensed in Illinois (180007015) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1144718149

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameBRANDON L UNDERWOODCredential: LPC

Location Address11 S CAPITOL STPekin, IL 61554-4106

Mailing Address3204 Eagle WayChicago, IL 60678-1032 · (630) 717-2258

Phone(309) 346-7800

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateApril 25, 2018

Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1144718149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180007015

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 180.007015 (IL)

11 S CAPITOL ST, Pekin, IL 61554

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon L Underwood Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092166835

PECOS Enrollment IDI20240105003191

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

47 services18 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

29 services29 patients

Other Providers at the Same Location NPPES 2

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

GATEWAY FOUNDATION, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

11 S CAPITOL ST
PEKIN, IL 61554

Tazewell County (877) 505-4673

GATEWAY PROFESSIONAL SERVICES, PC

Counselor (Addiction (Substance Use Disorder))

11 S CAPITOL ST
PEKIN, IL 61554

Tazewell County (877) 381-6538

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 Brandon Underwood's NPI number?

The NPI number for Brandon Underwood is 1144718149. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Brandon Underwood located?

Brandon Underwood practices at 11 S Capitol St, Pekin, IL 61554. The listed phone number is (309) 346-7800.

What is Brandon Underwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brandon Underwood enrolled in Medicare?

Yes. Brandon Underwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brandon Underwood was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.