Katherine Bridges, ALC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3577A Issued in AL

Practice address

6475 Spanish Fort Blvd Ste B
Spanish Fort, AL 36527-9403

Phone

(251) 303-5840

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seaside Sparrow Counseling, LLC

  • Mental Health Counselor
  • Spanish Fort, AL
  • NPI 1790380517
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1336748086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GENERAL CANBY DR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365273036",
            "telephone_number": "205-365-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 SPANISH FORT BLVD STE B",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365279403",
            "telephone_number": "251-303-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KATHERINE",
        "credential": "ALC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3577A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Frank Booth, DMD
• Barry Lee Booth, D.M.D.
• Madelyn Borel, RDN
• Carlie Bouldin, MS, CCC-SLP
• Victoria Bowman, CRNP
• Brightstar FL Al Operations, LLC
• Brightstar FL/Al Operations, LLC
• Sonya Broadus, CRC, LPC
• Matthew Broussard, PT, DPT
• Caitlin Brown, PMHNP

• Mental Health Counselor in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.