Individual provider Active NPI

Bria Williams-Roby, LPC

  • Professional Counselor
  • Burr Ridge, IL
National Provider Identifier
1770304255
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.020621 Issued in IL
Practice address
101 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0846
Phone
(630) 563-0044
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 178.020621 IL Primary

Addresses

Primary practice location

101 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0846

Mailing address

2835 Gabriella St
Downers Grove, IL 60515-3892
Phone (708) 415-1767

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
178.020621ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Insight, Inc Professional PastSince Oct 20, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1770304255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 GABRIELLA ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153892",
            "telephone_number": "708-415-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270846",
            "telephone_number": "630-563-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-ROBY",
        "first_name": "BRIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.020621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.