Bridgette Jean Fielder, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1904048 Issued in AR

Practice address

3201 W. Keiser
Osceola, AR 72370-3467

Phone

(870) 622-0592

Fax

(870) 622-0782

NPI assigned

Jun 5, 2008

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Community Clinic LLCGroup PAC ID 0648608117, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-County Community Clinic, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sikeston, MO
  • NPI 1811527138
  Medicare reassignment Care Compare group NPD
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Selah Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Piggott, AR
  • NPI 1720734247
  Medicare reassignment NPD

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1083873012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W. KEISER",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703467",
            "telephone_number": "870-622-0592",
            "fax_number": "870-622-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 E State Hwy 162",
            "address_purpose": "LOCATION",
            "city": "Portageville",
            "state": "MO",
            "postal_code": "63873",
            "country_code": "US",
            "telephone_number": "573-391-8031",
            "fax_number": "573-391-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "BRIDGETTE",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1904048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238385719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171783795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne J Everhart, LAC
• Nicole Evers, MS, CCC-SLP
• Families, Inc. of Arkansas (Families, Inc.)
• Stacy Lynn Faulkner
• Raymond Scott Fergus, MD
• First Step Arkansas, LLC (Arkids Pediatric Day Center Osceola)
• Amy J Flannigan, PD
• Jonathan Followell
• Joanna Ford, LMSW
• Susan Francis, LPE-I, LPC

• Professional Counselor in Osceola, AR
• Providers in Osceola, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.