Individual provider Active NPI

Brittany V Bogdajewicz, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1215432893
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178013406 Issued in IL
Practice address
3525 W Peterson Ave Ste 522
Chicago, IL 60659-3317
Phone
(312) 781-2850
Fax
(847) 972-6445
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178013406 IL Primary

Addresses

Primary practice location

3525 W Peterson Ave Ste 522
Chicago, IL 60659-3317

Mailing address

6150 N Northwest Hwy Apt 4
Chicago, IL 60631-2126
Phone (847) 749-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178013406ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psych Therapy Group, Inc. CurrentSince Dec 13, 2020 Accepting new patients

Locations

3525 W Peterson Ave
Ste 522
Chicago, IL 60659
Phone (312) 781-2850

1603 Orrington Ave
Ste 602
Evanston, IL 60201
Phone (312) 781-2850

1603 Orrington Ave
Evanston, IL 60201
Phone (312) 781-2850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1215432893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 N NORTHWEST HWY APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312126",
            "telephone_number": "847-749-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 522",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "312-781-2850",
            "fax_number": "847-972-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAJEWICZ",
        "first_name": "BRITTANY",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.