BRIDGING HOPE COUNSELING SERVICES LLC (NPI# 1508168337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508168337 |
| Entity Type | Organization |
| Organization Name | BRIDGING HOPE COUNSELING SERVICES LLC |
| Practice Address |
311 Brighton Ave S Suite B Buffalo MN 55313-2312 |
| Mailing Address |
21000 Rogers Dr Suite 200 Rogers MN 55374-4652 |
| Practice Telephone | 7632915505 |
| Practice Fax Number | 7636570819 |
| Mailing Telephone | 7632915505 |
| Mailing Fax Number | 7636570819 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | HEIDI LYNN WALDOCH (LMFT) |
| Authorized Official Telephone | 7632915505 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1894 | MN | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1894 | MN | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 1894 | MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598921629 | Bridging Hope Counseling Services LLC | Clinic/Center | 21000 Rogers Dr, Suite 200, Rogers, MN 55374-4652 | 2008-07-29 |
| Street Address |
311 BRIGHTON AVE S SUITE B |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164860664 | Breanna Marie Heintzelman | Marriage & Family Therapist | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2013-06-06 |
| 1386082972 | Briana Marie Adams | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2013-06-05 |
| 1972801090 | Cindy Meyer | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2011-03-14 |
| 1659672525 | Gina Daniels | Counselor | 311 Brighton Ave S, Suite B, Buffalo, MN 55313-2312 | 2010-11-09 |
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|---|---|---|---|---|
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| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1366953713 | Greater Buffalo United Association Inc | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2017-10-12 |
| 1568813111 | Health Essentials of Western New York, LLC | Clinic/Center | 1515 Kensington Ave, Buffalo, NY 14215-1436 | 2016-06-24 |
| 1285014522 | Simply Chiropractic LLC | Clinic/Center | 950 W Fetterman St, Buffalo, WY 82834-2413 | 2015-06-02 |
| 1336487396 | Frederick Michael Elliott, Md, Pllc | Clinic/Center | 897 Delaware Ave Ste 205, Buffalo, NY 14209-2087 | 2013-01-26 |
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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.