Individual provider Active NPI

Bridget Michele Moran, LLMSW

  • Addiction (Substance Use Disorder) Counselor
  • Marquette, MI
National Provider Identifier
1245809656
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1025 W Washington St
Marquette, MI 49855-4014
Phone
(906) 262-0071
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851109698 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1025 W Washington St
Marquette, MI 49855-4014

Mailing address

1025 W Washington St Ste B
Marquette, MI 49855-4031
Phone (906) 262-0071

Other practice location 1

1700 Ash St
Ishpeming, MI 49849-1017
Phone (906) 262-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230629003033 MI Practitioner - Clinical Social Worker 7012376643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851109698MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways CurrentSince Jun 22, 2023 Accepting new patients
Great Lakes Recovery Centers PastSince Jun 27, 2021 Accepting new patients
Great Lakes Recovery Centers PastSince Jun 27, 2021 Accepting new patients
Caught Dreamin' Therapy, LLC Clinical PastSince Jan 7, 2024 Accepting new patients

Locations

200 W Spring St
Marquette, MI 49855
Phone (906) 225-1181

601 W Superior St
Munising, MI 49862
Phone (906) 387-3611

Organizations & group practices 4

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1245809656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W WASHINGTON ST STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554031",
            "telephone_number": "906-262-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554014",
            "telephone_number": "906-262-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Ash St",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498491017",
            "country_code": "US",
            "telephone_number": "906-262-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "BRIDGET",
        "middle_name": "MICHELE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109698",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.