The Bridge Counseling and Consultation Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005145 Issued in GA

Legal business name

THE BRIDGE COUNSELING AND CONSULTATION CENTER

Practice address

761 Poplar St Ste 1K
Macon, GA 31201-2061

Phone

(478) 957-4482

NPI assigned

Nov 13, 2017

Last updated

Feb 6, 2023By 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

Mrs. Jada McNair Elliott, LMSWNPI 1285147231

Title

Business Owner

Phone

(478) 957-4482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Jada McNair Elliott, LMSW

  • Social Worker
  • Macon, GA
  • NPI 1285147231
  Medicare reassignment NPD Authorized official
• Mary Heather Merritt, LCSW

  • Mental Health Counselor
  • Macon, GA
  • NPI 1093222663

  Clinical

  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1346753399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SUN VALLEY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117415",
            "telephone_number": "478-957-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 POPLAR ST STE 1K",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012061",
            "telephone_number": "478-957-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE COUNSELING AND CONSULTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JADA",
        "authorized_official_middle_name": "MCNAIR",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "478-957-4482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie C Tharpe, MD
• The 831 Company
• The Arc of Macon
• The Athletic Therapy & Rehab Institute (Atari)
• The Beauty Parlor Salon and Boutique, LLC (Charlyn Harris)
• The CHI Rho Collective, PC
• The Comfy Place LLC
• The Corporation of Mercer University (Mercer Medicine)
• The Corporation of Mercer University (Mercer Medical Center for IDD Care Pharmacy)
• The Corporation of Mercer University (River Edge Crisis Services Pharmacy)

• Clinical Social Worker in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.