NPIMap

Organization Active NPI

Nurture and Thrive Psychotherapy PLLC

  • Counselor
  • Chicago, IL
National Provider Identifier
1356174882
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
NURTURE AND THRIVE PSYCHOTHERAPY PLLC
Practice address
5419 W Lawrence Ave
Chicago, IL 60630-3686
Phone
(312) 869-9899
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Brigid M Dagenfield, LCPCNPI 1033616354
Title
Owner/Therapist
Phone
(614) 580-7349

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5419 W Lawrence Ave
Chicago, IL 60630-3686

Mailing address

5615 W Giddings St
Chicago, IL 60630-3213
Phone (614) 580-7349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1356174882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 W GIDDINGS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303213",
            "telephone_number": "614-580-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303686",
            "telephone_number": "312-869-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE AND THRIVE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "DAGENFIELD",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "614-580-7349",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Sep 5, 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.