Active NPI
Kristyn Bridges
- Professional Counselor
- High Point, NC
National Provider Identifier
1215318316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11633
- Practice address
- 1232 N Main St
High Point, NC 27262-3118 - Phone
- (336) 884-1475
- Fax
- (336) 884-1482
- NPI assigned
- Jun 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11633 | NC | Primary |
Addresses
Primary practice location
1232 N Main St
High Point, NC 27262-3118
Mailing address
1232 N Main St
High Point, NC 27262-3118
Phone (336) 884-1475
Other practice location 1
8007 N Point Blvd Ste A
Winston Salem, NC 27106-3268
Phone (866) 700-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
164 Main St
Boylston, MA 01505-1928
500 W Jefferson St
Louisville, KY 40202-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11633 | NC | MD | Professional Counselor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Springfield, MA
- NPI 1285104141
-
- Clinical Social Worker
- Boylston, MA
- NPI 1447712575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1215318316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 N MAIN ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623118",
"telephone_number": "336-884-1475",
"fax_number": "336-884-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 N MAIN ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623118",
"telephone_number": "336-884-1475",
"fax_number": "336-884-1482"
}
],
"practiceLocations": [
{
"address_1": "8007 N Point Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063268",
"country_code": "US",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGES",
"first_name": "KRISTYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.