Individual provider Active NPI

Bridgette C Williams, LPC, LSATP

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1336911106
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012859 Issued in VA
Practice address
1207 Bell Tower Arch
Chesapeake, VA 23324-3176
Phone
(757) 739-9226
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012859 VA Primary

Addresses

Primary practice location

1207 Bell Tower Arch
Chesapeake, VA 23324-3176

Mailing address

1207 Bell Tower Arch
Chesapeake, VA 23324-3176
Phone (757) 739-9226

Other names 1

  • Bridgette Carlette Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701012859VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Cognitive Solutions, LLC CurrentSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1336911106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 BELL TOWER ARCH",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243176",
            "telephone_number": "757-739-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 BELL TOWER ARCH",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243176",
            "telephone_number": "757-739-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIDGETTE",
        "middle_name": "C",
        "credential": "LPC, LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "SIMMONS",
            "middle_name": "CARLETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.