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BREANNA SUTTLES BA
NPI 1407637952
Counselor in Carbondale, IL

Active since October 11, 2023
2311 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-6703(618) 549-3734 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Breanna Suttles Ba NPPES

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

BREANNA SUTTLES BA (NPI 1407637952) is an individual counselor in Carbondale, Illinois and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1407637952
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBREANNA SUTTLESCredential: BA
Location Address2311 S ILLINOIS AVECarbondale, IL 62903-5912
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Phone(618) 457-6703
Fax(618) 549-3734
Sole ProprietorNo
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1407637952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2311 S ILLINOIS AVE, Carbondale, IL 62903
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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.

EMILY MARGARET MACDONALD
Counselor (Mental Health)
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (629) 278-2696
LEVI WAMPLER
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
GAGE MCPHAIL BA
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
MEGAN BILY BS
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
MADISON ODUM
Case Manager/Care Coordinator
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
BEN HENSHAW BSN
Registered Nurse
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
DARRELL STAMPER BA
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
ALEXIS BROOKS MSW
Counselor
2311 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (855) 608-3560

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 Breanna Suttles's NPI number?

The NPI number for Breanna Suttles is 1407637952. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Breanna Suttles located?

Breanna Suttles practices at 2311 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 457-6703.

What is Breanna Suttles's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Breanna Suttles was last updated on October 11, 2023. 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.