Bridge Life Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGE LIFE COUNSELING, PLLC

Practice address

1120 Fremont St
Belvidere, IL 61008-5315

Phone

(779) 537-8544

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Teisha Marie Hoppe, LCSWNPI 1447741228

Title

Licensed Clinical Social Worker

Phone

(779) 537-8544

Specialties & licenses 1

Addresses

Practitioners 1

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

• Teisha Marie Hoppe, LCSW

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1447741228
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1285311720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 FREMONT ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610085315",
            "telephone_number": "779-537-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FREMONT ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610085315",
            "telephone_number": "779-537-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "TEISHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "779-537-8544",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaci Carolynn Brantley
• Michael Lee Brechon Sr., D.D.S.
• Michael Lee Brechon Jr., DDS
• Julie Bredlau, APN
• Gail Y Brick, ANP
• Brightside Recovery
• Aidan Brown, DPT
• Shawnna Brown
• Brian Bruns
• Breanna L Buffini, DPT

• Clinical Social Worker in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.