Bridge to Adulthood, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE TO ADULTHOOD, LLC

Practice address

5345 Russellville Rd
Allensville, KY 42204-9024

Phone

(270) 987-4456

Fax

(888) 270-7319

NPI assigned

Apr 26, 2018

Last updated

Apr 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

2025As reported in NPPES

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

Authorized official

Name

Brian Comley, BA

Title

Program Director

Phone

(270) 987-4456

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Part of

Bridge to Adulthood LLC

Interoperability endpoints

• Direct secure messaging: brian.comley@bridgetoadulthood.com

Practitioners 1

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.

• Katrina Comley, MA

  • Mental Health Counselor
  • Allensville, KY
  • NPI 1720476880
  NPD

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1356839187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 RUSSELLVILLE RD",
            "city": "ALLENSVILLE",
            "state": "KY",
            "postal_code": "422049024",
            "telephone_number": "270-987-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 RUSSELLVILLE RD",
            "city": "ALLENSVILLE",
            "state": "KY",
            "postal_code": "422049024",
            "telephone_number": "270-987-4456",
            "fax_number": "888-270-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO ADULTHOOD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "2025",
        "enumeration_date": "2018-04-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "COMLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "270-987-4456",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100496400",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.comley@bridgetoadulthood.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5345 Russellville Rd",
            "city": "Allensville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422049024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina Comley, MA
• Gail Guarino Constantini, MS, CCC-SLP
• Stephanie Jill Kimmelman, M.A., CCC-SLP
• Therapy Links, LLC

• Mental Health Counselor in Allensville, KY
• Providers in Allensville, KY by specialty
• Mental Health Counselor in Kentucky

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