Bridget Juanique Lark, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00186600 Issued in NJ

Practice address

600 Somerdale Rd Ste 101
Voorhees, NJ 08043-1858

Phone

(856) 656-9900

Fax

(866) 595-9377

NPI assigned

Aug 22, 2018

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Marriage and Family Therapist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12860/brand/1/csg/1/fhir/r4

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.

• Fresh Start Center

  • Community/Behavioral Health Agency
  • Voorhees, NJ
  • NPI 1639882699
  NPD Authorized official
• Fresh Start Family Therapy Services

  • Marriage & Family Therapist
  • Voorhees, NJ
  • NPI 1265059067
  NPD Authorized official
• Essential Foot Care PC

  • Podiatric Clinic/Center
  • Clementon, NJ
  • NPI 1346595089

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1386125946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WALNUT AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080211635",
            "telephone_number": "856-656-9900",
            "fax_number": "856-595-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERDALE RD STE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431858",
            "telephone_number": "856-656-9900",
            "fax_number": "866-595-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARK",
        "first_name": "BRIDGET",
        "middle_name": "JUANIQUE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00186600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget@freshstartfamilytherapyservices.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Somerdale Rd Ste 101",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Lang
• Richard Theodore Lange Jr., LCSW
• Allison Langkopf, MSPT
• Maria Lania-Howarth, MD
• Michael J Lanzisera, PA-C
• Hope Larose
• Sarah Laubengeyer, D.P.T.
• Laurie J Peterson-Deerfield
• Henrietta L. Lavengood, D.MIN.
• Richard Michael Lavoie, DPT

• Marriage & Family Therapist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.