Bridge to Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE TO WELLNESS, LLC

Practice address

6706 E 136TH St N
Collinsville, OK 74021-5774

Phone

(918) 949-0027

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Stacy LookoutNPI 1366869232

Title

Member

Phone

(918) 949-0027

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.

• Stacy Michelle Lookout, LPC, PMH-C

  • Professional Counselor
  • Collinsville, OK
  • NPI 1366869232

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696118400000",
    "number": "1316720733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 E 136TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 E 136TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215774",
            "telephone_number": "918-949-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-10-01",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "LOOKOUT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-949-0027"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatty-JTJV LLC
• Donna Jean Berryhill, P.T.A.
• Ben D Blackburn, DPH
• Blackline Recovery
• Melissa Bowler, DDS
• Kelsey Brown
• Jan Byerly, APRN
• Gary Cannon, D.O.
• Mary Lovelady Carter, MS, RD, LD, CDE
• Andrea J Caygill, CSFA

• Mental Health Counselor in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.