Active NPI
Nicholas Brigagliano
- Counselor
- Crystal Lake, IL
National Provider Identifier
1851784375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.009556
- Practice address
- 500 Coventry LN Ste 205
Crystal Lake, IL 60014-7555 - Phone
- (815) 455-7100
- NPI assigned
- Mar 8, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.009556 | IL | Primary |
Addresses
Primary practice location
500 Coventry LN Ste 205
Crystal Lake, IL 60014-7555
Mailing address
4140 N Pheasant Trail CT Unit 7
Arlington Heights, IL 60004-7992
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 |
|---|---|---|---|
| 180.009556 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Behavioral Health LLC | 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.
-
- Social Worker
- Crystal Lake, IL
- NPI 1881692689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425772800000",
"number": "1851784375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 N PHEASANT TRAIL CT UNIT 7",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600047992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COVENTRY LN STE 205",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147555",
"telephone_number": "815-455-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGAGLIANO",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-08",
"last_updated": "2015-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.009556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.