Organization Active NPI

Bridging the Gap Counseling Services

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1184389082
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRIDGING THE GAP COUNSELING SERVICES
Practice address
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone
(757) 345-0706
Fax
(757) 734-9081
NPI assigned
Nov 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Diane Joy GreenNPI 1992026249
Title
Owner
Phone
(757) 908-6082

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11815 Fountain Way Ste 300
Newport News, VA 23606-4448

Mailing address

11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone (757) 908-6082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904002947 VA Part B Supplier - Clinic/Group Practice 2961942008 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

202 Packets Ct
Ste A
Williamsburg, VA 23185
Phone (254) 368-0468

Practitioners & affiliated clinicians

Practitioners 2

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": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1184389082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "757-908-6082",
            "fax_number": "757-734-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "757-345-0706",
            "fax_number": "757-734-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-908-6082"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.