Active NPI
Ingrid Kristine Bridges, L.C.P.C.
- Professional Counselor
- Plainfield, IL
National Provider Identifier
1356627533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-004085
- Practice address
- 23819 W Mill St.
Plainfield, IL 60544 - Phone
- (630) 956-1566
- Fax
- (630) 920-1796
- NPI assigned
- Nov 1, 2011
- Last updated
- May 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-004085 | IL | Primary |
Addresses
Primary practice location
23819 W Mill St.
Plainfield, IL 60544
Mailing address
23323 W Lake Place
Plainfield, IL 60544
Phone (630) 956-1566
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180-004085 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingrid K Bridges | Professional | Current | Accepting new patients |
| Hinsdale Behavioral Health Clinic | Past | Accepting new patients |
Locations
23819 W Mill St
Plainfield, IL 60544
Phone (630) 956-1566
23819 W Mill St
Ste 103
Plainfield, IL 60544
Phone (815) 725-1049
Organizations & group practices 2
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.
-
- Professional Counselor
- Plainfield, IL
- NPI 1770220493
-
- Psychiatry Physician
- Hinsdale, IL
- NPI 1609180918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1356627533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23323 W LAKE PLACE",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60544",
"telephone_number": "630-956-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23819 W MILL ST.",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60544",
"telephone_number": "630-956-1566",
"fax_number": "630-920-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "INGRID",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-004085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
- Casey Brauch
- Braxy Speech Therapy PLLC
- Jennifer Brenner, R/T (R)
- Jennifer Kay Breuer-Harej, D.C.
- BRF Community Service Inc (FirstLight Home Care Naperville/Plainfield)
- Bridgeview Clinical Services, LTD
- Robin Lynn Briggs
- William Brinati
- Britewell LLC (Britewell Management Services LLC)
- Amanda Brown-Bartlett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.