| Braden Counseling Center, P.c. | |
|
1815 Mediterranean Dr Sycamore IL 60178-3299 | |
| (815) 787-9000 | |
| (815) 787-9015 |
| Full Name | Braden Counseling Center, P.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1815 Mediterranean Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Brenda Butz (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8157879000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braden Counseling Center, P.c. 1815 Mediterranean Dr Sycamore IL 60178-3299 Ph: (815) 787-9000 | Braden Counseling Center, P.c. 1815 Mediterranean Dr Sycamore IL 60178-3299 Ph: (815) 787-9000 |
| NPI Number | 1518026434 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Medicare PECOS PAC ID | 4981706348 |
|---|---|
| Medicare Enrollment ID | O20070305000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518026434 | NPI | - | NPPES |
| 01932029 | Other | IL | BLUECROSSBLUE SHIELD |
| Provider Name | Jayne A Braden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548301443 PECOS PAC ID: 9436251899 Enrollment ID: I20070305000043 |
| Provider Name | Jane A Gaitskill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669625992 PECOS PAC ID: 7315169117 Enrollment ID: I20141111002140 |
| Provider Name | Brandie M Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285913129 PECOS PAC ID: 4284861790 Enrollment ID: I20210510001176 |
| Provider Name | Victoria M Peyton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831761261 PECOS PAC ID: 8426445396 Enrollment ID: I20220422001219 |
| Provider Name | Beverly June Davis Bye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306843644 PECOS PAC ID: 9830132257 Enrollment ID: I20240410000472 |
| Provider Name | Christine Marie Konecny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639767098 PECOS PAC ID: 4183161771 Enrollment ID: I20240731003207 |
| Provider Name | Reynald Paul Gallosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740744200 PECOS PAC ID: 2567900277 Enrollment ID: I20240813002020 |
| Provider Name | Bridget Irioogbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053079889 PECOS PAC ID: 6406383231 Enrollment ID: I20241218001695 |
| Provider Name | Chimdiya Concilia Osisioma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205677754 PECOS PAC ID: 7416485552 Enrollment ID: I20250116002721 |
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