Individual provider Active NPI

Kristyn Bridges

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1215318316
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A11633 Issued in NC
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

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529000156 MA Practitioner - Mental Health Counselor 0143790352 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
A11633NCMDProfessional 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.

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

Verify at the official NPI Registry.