NPIMap

Organization Active NPI

Briggs Therapy Group, LLC

  • Mental Health Counselor
  • Park Ridge, IL
National Provider Identifier
1912411893
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008841 Issued in IL
Legal business name
BRIGGS THERAPY GROUP, LLC
Practice address
2 W Talcott Rd Ste 26
Park Ridge, IL 60068-5559
Phone
(847) 858-7277
Fax
(855) 787-3065
NPI assigned
Nov 29, 2017
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Mr. David E. Briggs, LCPCNPI 1356782759
Title
Owner/Therapist
Phone
(847) 858-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.008841 IL Primary
Clinical Social Worker 1041C0700X 149.020545 IL

Addresses

Primary practice location

2 W Talcott Rd Ste 26
Park Ridge, IL 60068-5559

Mailing address

2 W Talcott Rd Ste 26
Park Ridge, IL 60068-5559
Phone (847) 858-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116001895 IL Part B Supplier - Clinic/Group Practice 2365853793 Receives reassigned benefits from 2 practitioners
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory
Tax ID family
Briggs Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 W Talcott Rd
Ste 26
Park Ridge, IL 60068
Phone (847) 231-2620

2 W Talcott Rd
Ste 5
Park Ridge, IL 60068

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1912411893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 26",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685559",
            "telephone_number": "847-858-7277",
            "fax_number": "855-787-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 26",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685559",
            "telephone_number": "847-858-7277",
            "fax_number": "855-787-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGGS THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-858-7277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008841",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.