BRIDGES HABILITATION SERVICES, INC. (NPI# 1447673678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447673678 |
| Entity Type | Organization |
| Organization Name | BRIDGES HABILITATION SERVICES, INC. |
| Other Organization Name | BRIDGES |
| Practice Address |
400 S Kendrick Ave Suite 101 Gillette WY 82716-3848 |
| Mailing Address |
Po Box 1642 Evanston WY 82931-1642 |
| Practice Telephone | 3076821261 |
| Mailing Telephone | 3077890664 |
| Mailing Fax Number | 3077891902 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MR. DAVID M CANEN (CEO) |
| Authorized Official Telephone | 3077890664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1336 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1245305804 | 05 |
| Other Name | Type Code |
|---|---|
| Bridges | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299313 | Bridges Habilitation Services, Inc. | Specialist | 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 | 2017-08-03 |
| 1710392220 | Bridges Habilitation Services, Inc. | Clinic/Center | 400 S Kendrick Ave, Suite 201d, Gillette, WY 82716-3848 | 2014-06-23 |
| Street Address |
400 S KENDRICK AVE SUITE 101 |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740438209 | Craig Dean Falkman | Counselor | 400 S Kendrick Ave, Gillette, WY 82716-3848 | 2008-09-08 |
| 1437504974 | Wendy Depina | Case Management | 400 S Kendrick Ave, 104 C, Gillette, WY 82716-3848 | 2016-05-03 |
| 1346602851 | Jeannie C Peterson | Case Management | 400 S Kendrick Ave, Suite 104e, Gillette, WY 82716-3848 | 2016-03-23 |
| 1184039406 | Candice Heemeyer | Case Manager/Care Coordinator | 400 S Kendrick Ave, Suite 201d, Gillette, WY 82716-3848 | 2014-06-25 |
| 1710392220 | Bridges Habilitation Services, Inc. | Clinic/Center | 400 S Kendrick Ave, Suite 201d, Gillette, WY 82716-3848 | 2014-06-23 |
| 1164727301 | Chantall Marie Cherry | Case Management | 400 S Kendrick Ave, Suite 104c, Gillette, WY 82716-3848 | 2011-01-19 |
| 1154626711 | Clay William Dokken | Counselor | 400 S Kendrick Ave, Suite 204, Gillette, WY 82716-3848 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033690656 | Jane R King | Counselor | 400 S Kendrick Ave Ste 104c, Gillette, WY 82716-3848 | 2018-08-22 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1366833832 | Antionette Michelle Harris | Counselor | 1001 S Douglas Hwy Ste 110, Gillette, WY 82716-4951 | 2015-02-05 |
| 1083985733 | Kelley Marie Boltin | Counselor | 405 W Boxelder Rd Ste C8, Gillette, WY 82718-5320 | 2012-01-25 |
| 1912285461 | Melisa J Miller | Counselor | 1901 Energy Ct, Suite 311, Gillette, WY 82718-5522 | 2011-08-02 |
| 1659668416 | Polly Jean Akins | Counselor | 400 S Kendrick Ave Ste 301, Gillette, WY 82716-3803 | 2011-06-30 |
| 1831217579 | Diana Lucile Foster | Counselor | 4607 Alex Way, Gillette, WY 82718-4145 | 2007-03-27 |
| 1689775587 | Michelle Daigle | Counselor | 1401 W 2nd St, Suite #1, Gillette, WY 82716-3333 | 2006-09-26 |
| 1760588875 | Preuit & Daigle Professional Counseling P.C. | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2006-09-15 |
| 1033742622 | Aspire Counseling, LLC | Counselor | 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 | 2020-02-21 |
| Find all providers in GILLETTE | ||||
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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.