Bridgette Gottwald, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178015354 Issued in IL

Practice address

300 W Adams St Ste 514
Chicago, IL 60606-5108

Phone

(312) 578-9990

Fax

(312) 578-9004

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1427695972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065108",
            "telephone_number": "312-578-9990",
            "fax_number": "312-578-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065108",
            "telephone_number": "312-578-9990",
            "fax_number": "312-578-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTWALD",
        "first_name": "BRIDGETTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178015354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abrooks@symmetrycounseling.com",
            "affiliation": "N",
            "endpointDescription": "abrooks@symmetrycounseling.com",
            "address_1": "300 W Adams St Ste 514",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606065108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Gottlieb, M.D.
• Ori Gottlieb
• Simone Gottlieb
• Tova Gottlieb
• Robert Alan Gottschalk, ND, FNP
• Catherine Gotz, APN
• Bishoy Nabil Nicolas Goubran, MD
• Louis B. Goudanis, D.D.S.
• Nektaria Goudis, PSY.D.
• Emily Gouger

• 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 3, 2019; 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.