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JACARA BRISCO BS
NPI 1952036766
Counselor in Carbondale, IL

Active since July 18, 2022
2411 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-6703(618) 549-3734 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacara Brisco Bs NPPES

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

JACARA BRISCO BS (NPI 1952036766) is an individual counselor in Carbondale, Illinois and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1952036766
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACARA BRISCOCredential: BS
Location Address2411 S ILLINOIS AVECarbondale, IL 62903-5913
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 DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1952036766 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.
2411 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.

CENTERSTONE OF ILLINOIS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 937-6483
ALLYSSA KOWALIS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JOHNATHAN JACKSON BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (855) 608-3560
CHANTEL JACOBS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
TAYLOR SERRATA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
AHMED BUKHAMSIN BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JAYME ANN MCCARROLL MA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
CHELSEA BLIXT
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754

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 Jacara Brisco's NPI number?

The NPI number for Jacara Brisco is 1952036766. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Jacara Brisco located?

Jacara Brisco practices at 2411 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 457-6703.

What is Jacara Brisco'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 Jacara Brisco was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.