Healthcare Provider Details

I. General information

NPI: 1568244556
Provider Name (Legal Business Name): BRIANNA KASSEL MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 MERCHANT DR
ALGONQUIN IL
60102-5917
US

IV. Provider business mailing address

4951 BODE LN
MCHENRY IL
60050-6600
US

V. Phone/Fax

Practice location:
  • Phone: 847-461-8414
  • Fax:
Mailing address:
  • Phone: 224-629-9869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.019440
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: