The Bridge: Counseling, Psychotherapy, and Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE BRIDGE: COUNSELING, PSYCHOTHERAPY, AND WELLNESS

Practice address

7987 63Rd St S
Cottage Grove, MN 55016-6019

Phone

(612) 743-5889

Fax

(612) 446-5780

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Emily A Stevenson, PH.D.NPI 1710320213

Title

Licensed Professional Counselor

Phone

(612) 743-5889

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.

• Emily Ann Stevenson, PH.D.

  • Mental Health Counselor
  • Hudson, WI
  • NPI 1710320213
  NPD (past) Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1336750785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7987 63RD ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166019",
            "telephone_number": "612-743-5889",
            "fax_number": "612-446-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7987 63RD ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166019",
            "telephone_number": "612-743-5889",
            "fax_number": "612-446-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE: COUNSELING, PSYCHOTHERAPY, AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "612-743-5889",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Care Health Services LLC
• Weston Teresiak
• Naomi P. Tetzlaff, MD
• Priscilla Thao
• True Jacob Thao, MSW
• The Village Therapy and Development Center LLC
• The Wellness Way Cottage Grove LLC
• Annika Marie Theurer
• Tara Thompson
• Kaitlyn Tittle

• Professional Counselor in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.