Todd Derrick Frugia

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015065 Issued in IL

Practice address

25 E Washington St Ste 1237
Chicago, IL 60602-1853

Phone

(773) 450-9015

NPI assigned

Mar 7, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Chicago Talk Therapy LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1821867359
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1063112043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021853",
            "telephone_number": "773-450-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021853",
            "telephone_number": "773-450-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGIA",
        "first_name": "TODD",
        "middle_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander B Froyshteter, M.D.
• Jordan A Fruchey, PA-C
• Anna Marie Frueh Malek, DN
• Ruth Fruehauf, LCSW
• Sara Marie Fruendt, FNP-C
• Christina M. Frugoli, FNP-C
• Brian Fruin, PA-C, PT
• Dennis Fruin, RPH
• Douglass R. Fruin, OD
• Robert Daniel Fruin, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.