Outspoken Therapy PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OUTSPOKEN THERAPY PLLC

Practice address

4707 N Broadway St # 200
Chicago, IL 60640-4999

Phone

(312) 971-9441

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Bridget DietzNPI 1720522592

Title

Owner

Phone

(913) 808-8048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Dietz, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1720522592
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1063247112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST # 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "312-971-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST # 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "312-971-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSPOKEN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-808-8048"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Outly
• Outpatient Behavioral Health Services of Illinois, P.C.
• Outreach Youth & Family Services
• Outreach Youth & Family Services
• Outreach Youth & Family Services
• Abraham Ouweleen
• Adam Ouyang, DPT
• Zuolin Ouyang, DO
• Rachel Ouzts
• Ova Institute LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.