THE BRIDGE CENTER (NPI# 1154466555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154466555 |
| Entity Type | Organization |
| Organization Name | THE BRIDGE CENTER |
| Practice Address |
1201 Corporate Blvd Suite 100 Reno NV 89502 |
| Practice Telephone | 7758572999 |
| Practice Fax Number | 7758572998 |
| Mailing Telephone | 7758572999 |
| Mailing Fax Number | 7758572998 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | MR. MARC C DEAL (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7758572999 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
410 | NV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1104 I | NV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
625 | NV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
747 | NV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00987-I | NV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01015-I | NV | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 714P-S | NV | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2815-C | NV | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | R05380 | NV | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 0370 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100510922 | 05 | |
| NV | 100510921 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE BRIDGE CENTER FOR AUTISM, INC. | 129 County Road 6, Cincinnatus, Ny 13040 |
| Virginia Business Entities | The Bridge Center Gretna Inc. | 203 Northside Dr., Gretna, Virginia 24557 |
| Virginia Business Entities | THE BRIDGE CENTER INC. | 1911 Bishop Road, Richmond, Virginia 23230 |
| North Carolina Corporations | THE BRIDGE CENTER INC. | 106 Orchard Lane, Chapel Hill, NC 27514 |
| Indiana Business Entities | THE BRIDGE CENTER INC. | 6417 Columbine Dr, Indianapolis, IN 46224 |
| Virginia Business Entities | The Bridge Center of Hampton Roads | 4966 Euclid Road, Va. Beach, Virginia 23462 |
| Street Address |
1201 CORPORATE BLVD SUITE 100 |
| City | RENO |
| State | NV |
| Zip Code | 89502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091658 | Charles Sather | Nurse Practitioner | 1201 Corporate Blvd, Reno, NV 89502-7177 | 2017-06-01 |
| 1922535723 | Va Snhcs | Clinic/Center | 1201 Corporate Blvd, Reno, NV 89502-7177 | 2017-05-11 |
| 1427282532 | Kellie Alexander Carter | Marriage & Family Therapist | 1201 Corporate Blvd, Ste 100, Reno, NV 89502-7177 | 2009-05-05 |
| 1922257336 | Steven Walter Boyd | Counselor | 1201 Corporate Blvd, Ste 100, Reno, NV 89502-7101 | 2008-09-10 |
| 1912179474 | Theodore Jay Levatter | Counselor | 1201 Corporate Blvd, Suite 100, Reno, NV 89502-7101 | 2008-03-25 |
| 1073635744 | Adrian J Bravo | Counselor | 1201 Corporate Blvd, Suite 100, Reno, NV 89502-7101 | 2007-04-04 |
| 1558483024 | Kathryn Peacock-dutt | Social Worker | 1201 Corporate Blvd, Suite 100, Reno, NV 89502-7101 | 2007-04-04 |
| 1336261957 | Kandace Marie Gonzales | Counselor | 1201 Corporate Blvd, Suite 100, Reno, NV 89502-7101 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913168 | Companions Along The Way | Marriage & Family Therapist | 595 Humboldt St # 2g1, Reno, NV 89509-1603 | 2019-10-16 |
| 1619519808 | Stacey Michelle Lance | Marriage & Family Therapist | 1539 Pries Ct, Reno, NV 89523-1885 | 2019-10-09 |
| 1548735269 | Jessica Shields | Marriage & Family Therapist | 180 W Huffaker Ln Ste 302-303, Reno, NV 89511-2346 | 2018-10-09 |
| 1538640545 | Laurie Crom | Marriage & Family Therapist | 505 S Arlington Ave Ste 206, Reno, NV 89509-1525 | 2018-08-27 |
| 1629565908 | Thrive Wellness of Reno LLC | Marriage & Family Therapist | 421 W Plumb Ln Ste I, Reno, NV 89509-3766 | 2018-04-23 |
| 1700313244 | Beverly Jean Paschal | Marriage & Family Therapist | 3670 Grant Dr Ste 103a, Reno, NV 89509-5300 | 2017-05-15 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1013360692 | Mirit Sloves Healthy Solutions | Marriage & Family Therapist | 6490 S Mccarran Blvd Unit 50, Reno, NV 89509-6165 | 2016-07-19 |
| 1316399132 | Sabrina Allbee | Marriage & Family Therapist | 712 S Center St, Reno, NV 89501-2304 | 2016-07-05 |
| 1770955569 | Mery Mares | Marriage & Family Therapist | 1203 Nixon Ave, Reno, NV 89509-2639 | 2015-10-20 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.