Bridge to Life Ministries

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE TO LIFE MINISTRIES

Practice address

17194 Van Wagoner Rd
Spring Lake, MI 49456-9793

Phone

(616) 846-1051

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Smith

Title

President

Phone

(616) 846-1051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy Caldwell, LPC

  • Professional Counselor
  • Lapeer, MI
  • NPI 1902056559
  NPD (past)

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1306400189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17194 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569793",
            "telephone_number": "616-846-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17194 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569793",
            "telephone_number": "616-846-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO LIFE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-846-1051"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Boufford, D.C.
• Kathryn Bowen, ATC
• Brian J Bradford, PT, DPT
• Michael J Braid, ATC
• Nicholas Scott Brennfoerder, LPC
• Jessa Brown, LLPC
• Lavita Jalayne Brown, PID
• Derek L Burt, NP
• Butler TLC Services, Inc. (Comfort Keepers 136)
• Donna Butler, COTA/L

• Mental Health Counselor in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.