Active NPI
Bridges Counseling Services
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1003454364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRIDGES COUNSELING SERVICES
- Practice address
- 3280 E Beltline CT NE
Grand Rapids, MI 49525-9494 - Phone
- (616) 447-3404
- NPI assigned
- Dec 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayle M Witham
- Title
- LMSW
- Phone
- (616) 477-3404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3280 E Beltline CT NE
Grand Rapids, MI 49525-9494
Mailing address
3280 E Beltline CT NE
Grand Rapids, MI 49525-9494
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576627200000",
"number": "1003454364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 E BELTLINE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 E BELTLINE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259494",
"telephone_number": "616-447-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A",
"authorized_official_last_name": "WITHAM",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LMSW",
"authorized_official_telephone_number": "616-477-3404"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.