Bridget Anne Dedelow

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320

Phone

(541) 818-0009

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Oregon Directions, LLC

  • Mental Health Counselor
  • Springfield, OR
  • NPI 1225707763
  Medicare reassignment NPD
• Oregon Directions, LLC

  • Professional Counselor
  • Springfield, OR
  • NPI 1104578350
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1376219758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GOLFVIEW DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752042",
            "telephone_number": "219-323-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CENTENNIAL BLVD STE 2",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773320",
            "telephone_number": "541-818-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Bertholet Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463837959",
            "country_code": "US",
            "telephone_number": "219-323-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDELOW",
        "first_name": "BRIDGET",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlyn Debow, R.D.
• Jasen Scott Debrine
• Shawn Michael Decalesta
• Naomi Suzanne Decelles, A.A.
• Carrie Decker, LPN
• Michael Keith Deford, NP
• Ethan Deghelder
• David R Dehaas Jr., M.D.
• Patricia Marie Dejohn
• Gabriel Delao, QMHA

• Mental Health Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.