Individual provider Active NPI

Brandon Bigby, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1801228010
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000979 Issued in IL
Practice address
5100 N Ravenswood Ave
Suite 217
Chicago, IL 60640-2713
Phone
(773) 564-9763
Fax
(773) 250-3575
NPI assigned
Jul 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000979 IL Primary

Addresses

Primary practice location

5100 N Ravenswood Ave
Suite 217
Chicago, IL 60640-2713

Mailing address

5100 N Ravenswood Ave
Suite 217
Chicago, IL 60640-2713
Phone (773) 564-9763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130002847 IL Practitioner - Marriage and Family Therapist 3375996929 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5315 N Clark St
Chicago, IL 60640-2290
Phone (773) 564-9763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166.000979ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Bigby, LMFT, LLC Marriage & Family Therapist Past 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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1801228010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE",
            "address_2": "SUITE 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402713",
            "telephone_number": "773-564-9763",
            "fax_number": "773-250-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE",
            "address_2": "SUITE 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402713",
            "telephone_number": "773-564-9763",
            "fax_number": "773-250-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGBY",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.