Active NPI
Valley Counseling, LLC
- Clinical Social Worker
- Elgin, IL
National Provider Identifier
1023739604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- VALLEY COUNSELING, LLC
- Practice address
- 2295 Valley Creek Dr Ste I
Elgin, IL 60123-2694 - Phone
- (847) 687-4361
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Marie Brisebois, LCSW, LMHP
- Title
- Senior Clinical Social Worker
- Phone
- (630) 566-4673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Art Therapist | 221700000X | |||
| Recreation Therapist | 225800000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Religious Nonmedical Health Care Institution | 282J00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2295 Valley Creek Dr Ste I
Elgin, IL 60123-2694
Mailing address
2295 Valley Creek Dr Ste I
Elgin, IL 60123-2694
Phone (630) 566-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992076061 | Other | IL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110002403 | IL | Part B Supplier - Clinic/Group Practice | 4688021785 |
Receives reassigned benefits from 5 practitioners Practice locations: Elgin, IL |
National Provider Directory
National Provider DirectoryLocations
2295 Valley Creek Dr
Ste I
Elgin, IL 60123
Phone (630) 566-4673
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Elgin, IL
- NPI 1992076061
Addiction (Substance Use Disorder), IL
-
- Social Worker
- Elgin, IL
- NPI 1861107864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1023739604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 VALLEY CREEK DR STE I",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232694",
"telephone_number": "630-566-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 VALLEY CREEK DR STE I",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232694",
"telephone_number": "847-687-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "BRISEBOIS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SENIOR CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "630-566-4673",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, LMHP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1992076061",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.