Individual provider Active NPI

Bridget Irioogbe, LCPC

  • Professional Counselor
  • Sycamore, IL
National Provider Identifier
1053079889
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016362 Issued in IL
Practice address
1815 Mediterranean Dr
Sycamore, IL 60178-3299
Phone
(815) 787-9000
Fax
(815) 787-9015
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016362 IL Primary
Professional Counselor 101YP2500X 178.017557 IL

Addresses

Primary practice location

1815 Mediterranean Dr
Sycamore, IL 60178-3299

Mailing address

1815 Mediterranean Dr
Sycamore, IL 60178-3299
Phone (815) 787-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001695 IL Practitioner - Mental Health Counselor 6406383231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Braden Counseling Center PCGroup PAC ID 4981706348, 6 clinicians

Practice addresses (Care Compare)

2600 Dekalb Ave
Suite J
Sycamore, IL 60178-3132
Phone (815) 787-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017557ILMDProfessional Counselor
180.016362ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Braden Counseling Center, P.C. Professional CurrentSince Dec 13, 2024 Accepting new patients

Locations

951 S 7th St
Ste G
Rochelle, IL 61068
Phone (815) 561-8855

1815 Mediterranean Dr
Sycamore, IL 60178
Phone (815) 787-9000

1815 Mediterranean Dr
Ste 101
Sycamore, IL 60178

2600 DeKalb Ave
Ste J
Sycamore, IL 60178
Phone (815) 787-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1053079889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 MEDITERRANEAN DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783299",
            "telephone_number": "815-787-9000",
            "fax_number": "815-787-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MEDITERRANEAN DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783299",
            "telephone_number": "815-787-9000",
            "fax_number": "815-787-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIOOGBE",
        "first_name": "BRIDGET",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016362",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.