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BRANDON MICHAEL CARSON LSW
NPI 1922733435
Social Worker in Mahomet, IL

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
116 S LOMBARD ST, MAHOMET, IL 61853(217) 352-0200(217) 607-1139 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Jul 19, 2022 (2 updates tracked since 2022).

About Brandon Michael Carson Lsw NPPES

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

BRANDON MICHAEL CARSON LSW (NPI 1922733435) is an individual social worker in Mahomet, Illinois, licensed in Illinois (150.108418) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Champaign, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922733435
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBRANDON MICHAEL CARSONCredential: LSW
Location Address116 S LOMBARD STMahomet, IL 61853-9202
Mailing Address2125 S Neil StChampaign, IL 61820-7266 · (217) 352-0200 · Fax (217) 607-1139
Phone(217) 352-0200
Fax(217) 607-1139
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1922733435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.108418
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
116 S LOMBARD ST, Mahomet, IL 61853
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Secondary Practice Location 1

Location 12125 S Neil StChampaign, IL 61820-7266 · Phone (217) 352-0200 · Fax (217) 607-1139

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Michael Carson Lsw 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 ID8022490911
PECOS Enrollment IDI20220809003631
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keri Powell Therapy Inc
11 mi
Mental Health
2125 S NEIL ST
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1174751663 (217) 352-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

MADISON DUNCAN LSW
Social Worker
116 S LOMBARD ST
MAHOMET, IL 61853
Champaign County (217) 352-0200
MRS. TRISHA NICOLE NELSON LCSW
Social Worker (Clinical)
116 S LOMBARD ST
MAHOMET, IL 61853
Champaign County (217) 352-0200
KAITLYN ANN TAYLOR-JOHNSON LCSW
Social Worker (Clinical)
116 S LOMBARD ST
MAHOMET, IL 61853
Champaign County (217) 352-0200
VICTORIA LYNN KEARNEY LCSW
Social Worker (Clinical)
116 S LOMBARD ST
MAHOMET, IL 61853
Champaign County (217) 352-0200

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 Carson's NPI number?

The NPI number for Brandon Carson is 1922733435. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Brandon Carson located?

Brandon Carson practices at 116 S Lombard St, Mahomet, IL 61853. The listed phone number is (217) 352-0200.

What is Brandon Carson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Brandon Carson enrolled in Medicare?

Yes. Brandon Carson 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.

Which organization bills Medicare for Brandon Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Carson reassigns Medicare benefits to Keri Powell Therapy Inc (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brandon Carson was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.