BRIDGEWAY RECOVERY SERVICES (NPI# 1962793539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962793539 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY RECOVERY SERVICES |
| Practice Address |
3325 Harold Dr Ne Salem OR 97305-1339 |
| Practice Telephone | 5033634820 |
| Practice Fax Number | 5033634820 |
| Mailing Telephone | 5033634820 |
| Mailing Fax Number | 5033634820 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | ELIZABETH DIANE ROBERTS (COD COUNSELOR) |
| Authorized Official Telephone | 9512354115 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635608 | Bridgeway Recovery Services | Substance Abuse Rehabilitation Facility | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGEWAY RECOVERY SERVICES, INC. | 3325 Harold Dr Ne, Salem, OR 97305 |
| Street Address |
3325 HAROLD DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520787 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2006-05-27 |
| 1780202432 | Mary Greer | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2020-07-09 |
| 1992364566 | Debra Ross | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2019-06-07 |
| 1699338681 | Michael Sketch | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2019-04-16 |
| 1700352754 | Julia Humphreville | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-10-17 |
| 1649770884 | Justin Lee Mac | Peer Specialist | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-02-14 |
| 1659870996 | Donna Estelle Hoffman | Registered Nurse | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-02-01 |
| 1801303102 | Jeffrey Spears I | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2018-01-08 |
| 1023529138 | Marcelina Raya Bueno | Peer Specialist | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2017-10-16 |
| 1932628955 | Brittany A Wyas | Counselor | 3325 Harold Dr Ne, Salem, OR 97305-1339 | 2017-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881153948 | Pause Counseling, LLC | Community/Behavioral Health | 202 Main St Ste 102104, Salem, NH 03079-3170 | 2019-03-18 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1477050326 | Oregon Wellness Network | Community/Behavioral Health | 2615 Portland Rd Ne, Salem, OR 97301-0124 | 2018-04-08 |
| 1700335536 | Joel M Suckow-md, LLC | Community/Behavioral Health | 388 State St Ste 701, Salem, OR 97301 | 2016-09-21 |
| 1073979696 | Family Preservation Services, Inc | Community/Behavioral Health | 4507 Malus Dr, Salem, VA 24153-7921 | 2016-01-12 |
| 1700252954 | Acenda, Inc. | Community/Behavioral Health | 168 E Broadway, Salem, NJ 08079-1153 | 2015-08-11 |
| 1265820880 | Leumas Lighted Life, LLC | Community/Behavioral Health | 32 W Clay St, Salem, VA 24153-3754 | 2015-01-05 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1245646967 | Community Alternatives Virginia, Inc. | Community/Behavioral Health | 119 Sheraton Dr, Salem, VA 24153-3003 | 2014-07-02 |
| 1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
| Find all providers in SALEM | ||||
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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.