The Ridge

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1509 Issued in VA

Legal business name

THE RIDGE

Practice address

514 Hill Street
Springfield, TN 37172

Phone

(615) 985-2424

Fax

(615) 645-7333

NPI assigned

Sep 23, 2016

Organization subpart

No

Name

Bridgett L Augustino-Wilke, M.A., PHD, CCJPNPI 1447708706

Title

Owner/Executive Director

Phone

(615) 985-2424

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

• The Ridge

  • Social Worker
  • Springfield, TN
  • NPI 1184176034
  NPD tax ID

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

• Bridgett L Augustino-Wilke, M.A., PHD, CCJP

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, TN
  • NPI 1447708706
  NPD (past) Authorized official

Tax ID family

The Ridge (2 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2016.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1083163752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 HILL STREET",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "37172",
            "telephone_number": "615-985-2424",
            "fax_number": "615-645-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HILL STREET",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "37172",
            "telephone_number": "615-985-2424",
            "fax_number": "615-645-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINO-WILKE",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-985-2424",
        "authorized_official_credential": "M.A., PHD, CCJP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Springfield, TN
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.