Active NPI
Deborah Marie Brisebois, LCSW, LMHP, MSW
- Clinical Social Worker
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016361
- Practice address
- 2295 Valley Creek Dr Ste I
Elgin, IL 60123-2694 - Phone
- (847) 687-4361
- NPI assigned
- Jan 22, 2012
- Last updated
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 149.016361 | IL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
2295 Valley Creek Dr Ste I
Elgin, IL 60123-2694
Mailing address
936 Appaloosa CT
Sleepy Hollow, IL 60118-2517
Phone (847) 687-4361
Other practice location 1
1845 Grandstand Pl
Elgin, IL 60123-6603
Phone (847) 695-0484
Other practice location 2
75 Market St Ste 12
Elgin, IL 60123-5061
Phone (847) 697-6290
Other practice location 3
77 Airlite St
Behavioral Health Unit
Elgin, IL 60123
Phone (847) 695-3200 ext. 5432
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2295 Valley Creek Dr
Suite I
Elgin, IL 60123-2694
Phone (630) 566-4673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016361 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Side Counseling LLC | Mental Health | Current | Accepting new patients |
| Valley Psychiatry and Counseling, LLC | Current | Accepting new patients | |
| Valley Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
75 Market St
Ste 12
Elgin, IL 60123
Phone (847) 695-6955
85 Market St
Elgin, IL 60123
Phone (847) 264-4655
41 N McLean Blvd
Elgin, IL 60123
Phone (847) 264-4655
2295 Valley Creek Dr
Ste I
Elgin, IL 60123
Phone (630) 566-4673
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Elgin, IL
- NPI 1023739604
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Elgin, IL
- NPI 1144863929
-
- Psychiatry Physician
- Elgin, IL
- NPI 1497082770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1992076061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 APPALOOSA CT",
"city": "SLEEPY HOLLOW",
"state": "IL",
"postal_code": "601182517",
"telephone_number": "847-687-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 VALLEY CREEK DR STE I",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232694",
"telephone_number": "847-687-4361"
}
],
"practiceLocations": [
{
"address_1": "1845 Grandstand Pl",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601236603",
"country_code": "US",
"telephone_number": "847-695-0484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Market St Ste 12",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601235061",
"country_code": "US",
"telephone_number": "847-697-6290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "77 AIRLITE ST",
"address_2": "BEHAVIORAL HEALTH UNIT",
"address_purpose": "LOCATION",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"country_code": "US",
"telephone_number": "847-695-3200 x5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRISEBOIS",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW, LMHP, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-22",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016361",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.