Active NPI
Bridget S Lee
- Addiction (Substance Use Disorder) Counselor
- Elkhorn, WI
National Provider Identifier
1235366683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15619-130
- Practice address
- W4051 County Rd NN
Elkhorn, WI 53121 - Phone
- (262) 741-3200
- Fax
- (262) 741-3217
- NPI assigned
- Jun 12, 2009
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15619-130 | WI | Primary |
Addresses
Primary practice location
W4051 County Rd NN
Elkhorn, WI 53121
Mailing address
PO Box 1005
Elkhorn, WI 53121
Phone (262) 741-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15619-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1235366683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1005",
"city": "ELKHORN",
"state": "WI",
"postal_code": "53121",
"telephone_number": "262-741-3200",
"fax_number": "262-741-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4051 COUNTY RD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "53121",
"telephone_number": "262-741-3200",
"fax_number": "262-741-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRIDGET",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15619-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.