Bridge to Peace Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE TO PEACE COUNSELING, LLC

Practice address

502 Wall St Ste 105
Valparaiso, IN 46383-2599

Phone

(219) 627-1555

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Kym A Groceman, LMHC

Title

Owner

Phone

(219) 627-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridge to Peace Counseling, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Kymberly A Groceman, L.M.H.C

  • Mental Health Counselor
  • Chesterton, IN
  • NPI 1780037283
  Medicare reassignment NPD
• Jessica Renee Anand, LSW

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1003622713
  NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1205430261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WALL ST STE 105",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832599",
            "telephone_number": "219-627-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WALL ST STE 105",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832599",
            "telephone_number": "219-627-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO PEACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "GROCEMAN",
        "authorized_official_first_name": "KYM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-627-1555",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD",
            "identifier": "39002848A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kym@b2pcounseling.com",
            "affiliation": "N",
            "endpointDescription": "client records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client records",
            "address_1": "502 Wall St Ste 105",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463832599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridge to Peace Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Mae Braun, LMHCA
• Scott James Braun, D.C.
• Jazzmin Bray
• Kelsey Nicole Brewer
• Brian T Cassani DC PSC
• Marcia Ann Briggs, PSYD, HSPP
• Brightway Care Services LLC
• Dianna W Brogan, MD
• Elaine Heather Brogan, CCC-SLP
• Nicholas Brogdon

• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.