Organization Active NPI

Bridge to Wonderland, LLC

  • Counselor
  • Omaha, NE
National Provider Identifier
1033975685
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BRIDGE TO WONDERLAND, LLC
Practice address
144 S 39TH St Ste 2E
Omaha, NE 68131-3050
Phone
(833) 384-6916
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chelsea Del-Toro, PLMHP, PSS, PHTNPI 1346974458
Title
Owner/Therapist
Phone
(833) 384-6916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

144 S 39TH St Ste 2E
Omaha, NE 68131-3050

Mailing address

200 S 21St St Ste 400a
Lincoln, NE 68510-1044

National Provider Directory

National Provider Directory

Locations

144 S 39th St
Ste 2D
Omaha, NE 68131
Phone (402) 890-8160

144 S 39th St
Ste 2E
Omaha, NE 68131
Phone (833) 384-6916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1033975685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 21ST ST STE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S 39TH ST STE 2E",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313050",
            "telephone_number": "833-384-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO WONDERLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "DEL-TORO",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "833-384-6916",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PLMHP, PSS, PHT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.