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MRS. BRENDA I BEANBLOSSOM MA LCPC
NPI 1669674214
Counselor - Professional in Carlinville, IL

Active since June 05, 2007
320 SOUTH LOCUST STREET, CARLINVILLE, IL 62626(217) 854-3166(217) 854-9729 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brenda I Beanblossom Ma Lcpc NPPES

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

MRS. BRENDA I BEANBLOSSOM MA LCPC (NPI 1669674214) is an individual professional provider in Carlinville, Illinois and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1669674214
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BRENDA I BEANBLOSSOMCredential: MA LCPC
Location Address320 SOUTH LOCUST STREETCarlinville, IL 62626
Mailing Address320 South Locust StreetCarlinville, IL 62626 · (217) 854-3166 · Fax (217) 854-9729
Phone(217) 854-3166
Fax(217) 854-9729
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669674214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
320 SOUTH LOCUST STREET, Carlinville, IL 62626
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Other Providers at the Same Location NPPES 5

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

SHERRY LYNN KALICAK MA LCPC
Counselor (Professional)
320 SOUTH LOCUST STREET
CARLINVILLE, IL 62626
Macoupin County (217) 854-3166
MR. WILLIAM ANDERSON MA LCPC
Counselor (Professional)
320 SOUTH LOCUST STREET
CARLINVILLE, IL 62626
Macoupin County (217) 854-3166
MRS. LISA HAUTER LCSW CSADF
Social Worker (Clinical)
320 SOUTH LOCUST STREET
CARLINVILLE, IL 62626
Macoupin County (217) 854-3166
LOCUST STREET RESOURCE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
320 SOUTH LOCUST STREET
CARLINVILLE, IL 62626
Macoupin County (217) 854-3166
MR. JOSEPH P KRAVANYA BS LPC
Counselor (Professional)
320 SOUTH LOCUST STREET
CARLINVILLE, IL 62626
Macoupin County (217) 854-3166

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 Brenda Beanblossom's NPI number?

The NPI number for Brenda Beanblossom is 1669674214. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Brenda Beanblossom located?

Brenda Beanblossom practices at 320 South Locust Street, Carlinville, IL 62626. The listed phone number is (217) 854-3166.

What is Brenda Beanblossom's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenda Beanblossom 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.