Provider Demographics
NPI:1215818703
Name:JURGENS, BRIGID (LPC-IT)
Entity type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:JURGENS
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 W END CIR APT 306
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1383
Mailing Address - Country:US
Mailing Address - Phone:414-758-0404
Mailing Address - Fax:
Practice Address - Street 1:301 S BEDFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3695
Practice Address - Country:US
Practice Address - Phone:608-313-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8583-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health