NPIMap

Organization Active NPI

Bridgeview Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, IA
National Provider Identifier
1073561882
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER
Doing business as
Bridgeview Community Mental Health Center
Practice address
1320 19TH Ave NW
Clinton, IA 52732-2752
Phone
(563) 243-5633
Fax
(563) 243-9567
NPI assigned
May 4, 2006
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mr. Lisa Christopher
Title
Contracting & Credentialing Coor
Phone
(563) 327-0203

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Nurse Practitioner 363L00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1320 19TH Ave NW
Clinton, IA 52732-2752

Mailing address

1320 19TH Ave NW
Clinton, IA 52732-2752
Phone (563) 243-5633

Other practice location 1

849 13th Ave N
Clinton, IA 52732-5168
Phone (563) 243-5633

Other practice location 2

115 1/2 S 2nd St
Maquoketa, IA 52060-2953
Phone (563) 324-9169

Other identifiers 1

IdentifierTypeStateIssuer
0707426MedicaidIA

Other names 1

  • Bridgeview Community Mental Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000778 IA Part B Supplier - Clinic/Group Practice 8325058308 Receives reassigned benefits from 19 practitioners
Practice locations: Clinton, IA; Maquoketa, IA

National Provider Directory

National Provider Directory
Tax ID family
Bridgeview Community Mental Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 S 2nd St
Maquoketa, IA 52060
Phone (563) 324-9169

115 S 2nd St
Ste 6
Maquoketa, IA 52060
Phone (563) 580-0913

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1073561882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 19TH AVE NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322752",
            "telephone_number": "563-243-5633",
            "fax_number": "563-243-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 19TH AVE NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322752",
            "telephone_number": "563-243-5633",
            "fax_number": "563-243-9567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 13th Ave N",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527325168",
            "country_code": "US",
            "telephone_number": "563-243-5633",
            "fax_number": "563-243-9567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 1/2 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Maquoketa",
            "state": "IA",
            "postal_code": "520602953",
            "country_code": "US",
            "telephone_number": "563-324-9169",
            "fax_number": "563-243-9567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING COOR",
        "authorized_official_telephone_number": "563-327-0203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707426",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeview Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgeview Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.